NPIMap

Individual provider Active NPI

Glenn E Bigsby IV, DO

  • Gynecologic Oncology Physician
  • Littleton, CO
National Provider Identifier
1821045584
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
0054364 Issued in CO
Practice address
7780 South Broadway
Suite 300
Littleton, CO 80122-2633
Phone
(303) 955-7574
Fax
(720) 242-9307
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 0054364 CO Primary

Addresses

Primary practice location

7780 South Broadway
Suite 300
Littleton, CO 80122-2633

Mailing address

7780 South Broadway
Suite 300
Littleton, CO 80122-2633
Phone (303) 955-7574

Other identifiers 2

IdentifierTypeStateIssuer
P00001354OtherRAILROAD MEDICARE
51383870MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150302001752 CO Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 5597864314 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological OncologyAlso: Obstetrics/Gynecology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Colorado West Healthcare SystemGroup PAC ID 3971491887, 35 clinicians
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

2351 G Rd
Grand Junction, CO 81505-9641
Phone (970) 242-0920

2596 F Rd
Grand Junction, CO 81505-1443
Phone (970) 254-3180

525 Bob Peters GRV
Suite 309
Colorado Springs, CO 80909-4533
Phone (719) 365-6464

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of the uterus21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0054364COMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado West Healthcare System CurrentSince May 13, 2024 Accepting new patients
Poudre Valley Medical Group, LLC Gynecologic Oncology CurrentSince Apr 25, 2022 Accepting new patients
Colorado West Healthcare System CurrentSince May 13, 2024 Accepting new patients
Community Medical Group, LLC CurrentSince Jan 1, 2021 Accepting new patients
Community Medical Group, LLC CurrentSince Jan 1, 2021 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Apr 25, 2022 Accepting new patients
Community Medical Group, LLC Current Accepting new patients
Colorado West Healthcare System Current Accepting new patients
Community Medical Group, LLC Past Accepting new patients
Community Medical Group, LLC Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

525 Bob Peters Grv
Ste 309UC
Colorado Springs, CO 80909
Phone (719) 365-6464

525 Bob Peters Grv
Ste 309
Colorado Springs, CO 80909
Phone (719) 365-6464

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

4809 Argonne St
Denver, CO 80249
Phone (303) 563-2784

2351 G Rd
Grand Junction, CO 81505
Phone (970) 242-0920

688 23 12 Rd Ste 201
Ste 201
Grand Junction, CO 81505

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1821045584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 SOUTH BROADWAY",
            "address_2": "SUITE 300",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222633",
            "telephone_number": "303-955-7574",
            "fax_number": "720-242-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 SOUTH BROADWAY",
            "address_2": "SUITE 300",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222633",
            "telephone_number": "303-955-7574",
            "fax_number": "720-242-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGSBY",
        "first_name": "GLENN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "CO",
            "license": "0054364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00001354",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51383870",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.