Glenn E Hurst, MD, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38242 Issued in IA

Legal business name

GLENN E HURST, MD, P.C.

Practice address

401 Broadway Street
Minden, IA 51553-0306

Phone

(712) 407-2086

Fax

(712) 407-2087

NPI assigned

Jan 11, 2012

Last updated

Apr 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Glenn E Hurst, MDNPI 1316108764

Title

Owner

Phone

(402) 290-8507

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glenn Edward Hurst, M.D.

  • Family Medicine Physician
  • Council Bluffs, IA
  • NPI 1316108764
  Medicare reassignment NPD Authorized official
• Alan J Pokorski, P.A.

  • Medical Physician Assistant
  • Council Bluffs, IA
  • NPI 1447356936
  Medicare reassignment

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1831469535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BROADWAY STREET",
            "city": "MINDEN",
            "state": "IA",
            "postal_code": "515530306",
            "telephone_number": "712-407-2086",
            "fax_number": "712-407-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BROADWAY STREET",
            "city": "MINDEN",
            "state": "IA",
            "postal_code": "515530306",
            "telephone_number": "712-407-2086",
            "fax_number": "712-407-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN E HURST, MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-290-8507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "38242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dotzler Pharmacies Inc (Lehan Pharmacy)
• Lehan Pharmacy Inc.
• Julie Paige McPhillips, RPH
• Minden Emergency Services (Minden Vol Fire Dept)
• Purposely Patient, LLC

• Family Medicine Physician in Minden, IA
• Providers in Minden, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.