Active NPI
Bruce David Glassman, M.D.
- Dermatology Physician
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0101051255
- Practice address
- 4660 Kenmore Ave
Suite 500
Alexandria, VA 22304-1313 - Phone
- (703) 370-0073
- Fax
- (703) 370-2002
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 0101051255 | VA | Primary |
Addresses
Primary practice location
4660 Kenmore Ave
Suite 500
Alexandria, VA 22304-1313
Mailing address
4660 Kenmore Ave
Suite 500
Alexandria, VA 22304-1313
Phone (703) 370-0073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5900786 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Tufts University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4660 Kenmore Ave
Suite 1100
Alexandria, VA 22304-1311
Phone (703) 370-0073
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.95 of 100
- Quality
- 78.27
- Promoting interoperability
- 91
- Improvement activities
- 20
- Cost
- 74.08
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.97 of 100
- Quality
- 78.47
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 82.27
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 250 |
| Removal of skin lesions | 2400 |
| Removal or shaving of skin growth | 277 |
| Skin biopsy | 521 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101051255 | VA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Advanced Dermatology of Maryland PC | Dermatology | Current | Accepting new patients |
| Advanced Dermatology of Maryland PC | Dermatology | Current | Accepting new patients |
| Advanced Dermatology of Virginia Inc | Dermatology | Current | Accepting new patients |
| Advanced Dermatology of Maryland PC | Dermatology | Current | Accepting new patients |
Locations
151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293
101 Centennial St
Ste H
La Plata, MD 20646
Phone (301) 292-6010
174 Waterfront St
Ste 200
Oxon Hill, MD 20745
Phone (240) 493-8447
2401 Research Blvd
Ste 260
Rockville, MD 20850
Phone (301) 990-6565
7505 Osler Dr
Ste 308
Towson, MD 21204
Phone (410) 296-1464
4660 Kenmore Ave
Ste 1100
Alexandria, VA 22304
Phone (703) 370-0073
4660 Kenmore Ave
Ste 500
Alexandria, VA 22304
Phone (703) 370-0073
4660 Kenmore Ave
Ste 1110
Alexandria, VA 22304
4660 Kenmore Ave
Ste 200
Alexandria, VA 22304
Phone (336) 624-7164
3700 Joseph Siewick Dr
Ste 302
Fairfax, VA 22033
Phone (703) 648-2488
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
Interoperability endpoints
- bruce.glassman@adcs1.emadirect.md
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Fort Washington, MD
- NPI 1386479004
-
- Dermatology Physician
- La Plata, MD
- NPI 1477388197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300060800000",
"number": "1730151119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4660 KENMORE AVE",
"address_2": "SUITE 500",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041313",
"telephone_number": "703-370-0073",
"fax_number": "703-370-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 KENMORE AVE",
"address_2": "SUITE 500",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041313",
"telephone_number": "703-370-0073",
"fax_number": "703-370-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASSMAN",
"first_name": "BRUCE",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2011-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VA",
"license": "0101051255",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5900786",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.