Individual provider Active NPI

Glenn Eugene Hansen, D.O,

  • Pain Medicine Physician
  • Bedford, TX
National Provider Identifier
1821179698
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
H9976 Issued in TX
Practice address
2520 Harwood Rd
Suite 200
Bedford, TX 76021-6709
Phone
(817) 267-6222
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X H9976 TX Primary

Addresses

Primary practice location

2520 Harwood Rd
Suite 200
Bedford, TX 76021-6709

Mailing address

2520 Harwood Rd
Suite 200
Bedford, TX 76021-6709
Phone (817) 267-6222

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610001576 TX Practitioner - Emergency MedicinePractitioner - Other (Physician) 0345223202 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC CurrentSince Feb 3, 2013 Accepting new patients
Comanche County Medical Center Company CurrentSince Jun 24, 2017 Accepting new patients
Ess of South Texas LLC CurrentSince Sep 1, 2017 Accepting new patients
Comanche County Medical Center Company CurrentSince Jun 24, 2017 Accepting new patients
Southwest Medical Associates, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Seminole Hospital District of Gaines County Texas CurrentSince Dec 22, 2018 Accepting new patients
Concord Medical Group PLLC CurrentSince Feb 3, 2013 Accepting new patients
Seminole Hospital District of Gaines County Texas CurrentSince Dec 22, 2018 Accepting new patients
Texas Emergency Room Services , PA Past Accepting new patients
E Care Emergency Frisco LLC Past Accepting new patients
Campion Emergency Physicians PLLC Past Accepting new patients
E Care Emergency McKinney, L.P. Past Accepting new patients
Bachman Lake Emergency Physicians PLLC Past Accepting new patients

Locations

10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811

920 Hillcrest Dr
Vernon, TX 76384
Phone (940) 552-9351

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821179698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 HARWOOD RD",
            "address_2": "SUITE 200",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216709",
            "telephone_number": "817-267-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 HARWOOD RD",
            "address_2": "SUITE 200",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216709",
            "telephone_number": "817-267-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "GLENN",
        "middle_name": "EUGENE",
        "credential": "D.O,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "H9976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.