Glenn J Saucer, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

12568 Issued in AL

Practice address

1722 Pine St
Suite 603
Montgomery, AL 36106-1103

Phone

(334) 264-2422

Fax

(334) 264-9294

NPI assigned

Sep 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Jackson Hospital and Clinic, Inc.

  • Emergency Medicine Physician
  • Montgomery, AL
  • NPI 1073264107

  AL

  Medicare reassignment NPD
• Jackson Hospital & Clinic, Inc.

  • Physical Therapist
  • Montgomery, AL
  • NPI 1265325823
  NPD
• Jackson Hospital and Clinic, Inc.

  • Obstetrics Physician
  • Montgomery, AL
  • NPI 1477029072
  NPD
• Jackson Hospital & Clinic, Inc.

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1043262488
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (4 of 10)

Locations

Networks

• bcbs alabama network 01G0
• bcbs alabama network 01B0
• bcbs alabama network 01E0
• bcbs alabama network 01H0
• bcbs alabama network 01C0
• bcbs alabama network 01A0

Interoperability endpoints

• Direct secure messaging: glenn.saucer@direct.baptistfirst.org

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1790770238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 PINE ST",
            "address_2": "SUITE 603",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061103",
            "telephone_number": "334-264-2422",
            "fax_number": "334-264-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 PINE ST",
            "address_2": "SUITE 603",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061103",
            "telephone_number": "334-264-2422",
            "fax_number": "334-264-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCER",
        "first_name": "GLENN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "12568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000015771",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sapphire Home Health Care, LLC
• William O Sargeant, D.O.,P.C.
• Rehan Ajmal Sarmad, MD
• Sate of Alabama Dept of Finance
• Cameron J Sauce
• Lindsey Saunders, CRNP
• Ronald John Savoy, PA-C
• Sandra Saxon, CRNA
• Sayno
• Nakya Scarver

• All providers in Montgomery, AL
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.