Brian Michael Glenn, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APRN.CRNA.09905 Issued in OH

Practice address

450 W. Grand Avenue
Dayton, OH 45405

Phone

(865) 291-3612

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kettering Anesthesia Associates, IncGroup PAC ID 0648170365, 54 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trihealth Clinton Regional Hospital Hospital, Wilmington, OH, CCN 360175
• Bethesda North Hospital, Cincinnati, OH, CCN 360179

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Kettering Anesthesia Associates, Inc

  • Anesthesiology Physician
  • Kettering, OH
  • NPI 1689627739
  Medicare reassignment Care Compare group
• Dayton Osteopathic Hospital

  • Multi-Specialty Clinic/Center
  • Dayton, OH
  • NPI 1588630347
  Medicare reassignment NPD
• Imperial Enterprise of Ohio LLC

  • Anesthesiology Physician
  • Dayton, OH
  • NPI 1295111318
  Medicare reassignment NPD
• Western Ohio Sedation Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Beavercreek, OH
  • NPI 1649777699

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  Nurse Anesthetist, Certified Registered, OH

  Medicare reassignment NPD
• Dayton Anesthesia & Pain Services, LLC

  • Anesthesiology Physician
  • Dayton, OH
  • NPI 1629401898
  Medicare reassignment
• Alliance Physicians Inc

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1437125572
  NPD (past)
• DM Anesthetists of Il, LLC

  • Registered Nurse
  • Belleville, IL
  • NPI 1629020854
  NPD (past)

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

• Bethesda Hospital Inc

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1396714663
  Care Compare affiliation
• Trihealth Hospital, Inc.

  • General Acute Care Hospital
  • Wilmington, OH
  • NPI 1457243586
  Care Compare affiliation

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1831243062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 OAKVIEW DRIVE",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "45430",
            "telephone_number": "210-485-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W. GRAND AVENUE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45405",
            "telephone_number": "865-291-3612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Sylvania Dr",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454403237",
            "country_code": "US",
            "telephone_number": "937-320-5050",
            "fax_number": "937-320-5060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLENN",
        "first_name": "BRIAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "748460",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "041-293660",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101027",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "09905",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.09905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Louise Glass
• Jordan Glassman, DO
• Kathleen D Glaus, PHD, PSYD
• Paul Douglas Gleason II, M.D.
• Glenda Lopez-Blaza MD, LLC
• Jessica T Glenn, MOTR/L
• William Glenn, MD
• Global Initiative for Theraputic Services (Gifts), LLC
• Global Med Services LLC
• Global Salonllc

• Certified Registered Nurse Anesthetist in Dayton, OH
• Providers in Dayton, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.