Glick Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5257 Issued in AZ

Legal business name

GLICK FAMILY MEDICINE LLC

Practice address

41810 N Venture Dr
Suite E-160
Anthem, AZ 85086-3169

Phone

(623) 465-4627

NPI assigned

Nov 1, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bryan R Glick, DO

Title

Owner

Phone

(623) 465-4627

Specialties & licenses 2

Addresses

Other names 1

• Health Quest Family Medicine Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1720388127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41810 N VENTURE DR",
            "address_2": "SUITE E-160",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863169",
            "telephone_number": "623-465-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41810 N VENTURE DR",
            "address_2": "SUITE E-160",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863169",
            "telephone_number": "623-465-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLICK FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-465-4627",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "5257",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "4353",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Quest Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Amy Gentry-Calvo, NMD
• Rachel Gerber, DPM
• Brandon Gerle
• Charles T Gifford, PT
• Joe William Gladden II, M.S., LPCC, LMHC
• Elizabeth Frances Gomez, DMD
• Robert Gomez, DDS
• Good Life Inc
• Stephen Grant
• James J Grodzielanek, DPT

• Family Medicine Physician in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.