Active NPI
David Bruce Glover, M.D.
- Obstetrics & Gynecology Physician
- Fort Smith, AR
National Provider Identifier
1760484117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- C5352
- Practice address
- 7303 Rogers Ave
Suite 302
Fort Smith, AR 72903-4165 - Phone
- (479) 785-2111
- Fax
- (479) 424-2593
- NPI assigned
- Aug 15, 2005
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | C5352 | AR | Primary |
Addresses
Primary practice location
7303 Rogers Ave
Suite 302
Fort Smith, AR 72903-4165
Mailing address
7303 Rogers Ave
Suite 302
Fort Smith, AR 72903-4106
Phone (479) 785-2111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105789001 | Medicaid | AR | |
| 152730000-00 | Other | AR | QUALCHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Vanderbilt University School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Choctaw Way
Talihina, OK 74571-2022
Phone (539) 316-6391
One Choctaw Way
Talihina, OK 74571-2022
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.07 of 100
- Quality
- 73.06
- Improvement activities
- 40
- Cost
- 69.92
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5352 | AR | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| OB & GYN Women'S Group PA | Past | Accepting new patients |
Locations
1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440
Interoperability endpoints
- dglover21372@choctawnation.direct-ci.com
Organizations & group practices 3
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.
-
- Specialist
- Fort Smith, AR
- NPI 1629193875
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Broken Bow, OK
- NPI 1447143532
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Talihina, OK
- NPI 1659347623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222646400000",
"number": "1760484117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7303 ROGERS AVE",
"address_2": "SUITE 302",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729034106",
"telephone_number": "479-785-2111",
"fax_number": "479-424-2593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7303 ROGERS AVE",
"address_2": "SUITE 302",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729034165",
"telephone_number": "479-785-2111",
"fax_number": "479-424-2593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOVER",
"first_name": "DAVID",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2008-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AR",
"license": "C5352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105789001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "152730000-00",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.