Individual provider Active NPI

Brian L Glenn, MD

  • Family Medicine Physician
  • Lapeer, MI
National Provider Identifier
1841290970
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0051841 Issued in MD
Practice address
1254 N. Main St
Lapeer, MI 48446
Phone
(810) 664-4531
Fax
(810) 667-7337
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0051841 MD Primary

Addresses

Primary practice location

1254 N. Main St
Lapeer, MI 48446

Mailing address

401 S. Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100624000945 MI Practitioner - Family Practice 1951457878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Lapeer RegionGroup PAC ID 8123000544, 36 clinicians

Practice addresses (Care Compare)

1375 N Main St
Lapeer, MI 48446-1350
Phone (810) 667-5677

809 W Dryden Rd
McLaren Community Medical Center Metamora
Metamora, MI 48445-8961
Phone (810) 678-4000

Hospital & facility affiliations

  • Residential Home Health and Hospice Home health agency, Lapeer, MI, CCN 237495
  • McLaren Home Health Home health agency, Clinton Township, MI, CCN 237172
  • McLaren Home Health Home health agency, Davison, MI, CCN 237010
  • McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193
  • McLaren Flint Hospital, Flint, MI, CCN 230141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0051841MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Lapeer Region CurrentSince Apr 1, 2012 Accepting new patients
McLaren Lapeer Region Current Accepting new patients
McLaren Lapeer Region Family Medicine CurrentSince Apr 1, 2012 Accepting new patients
Associates in Family Practice PA Family Medicine PastSince Dec 21, 2025 Accepting new patients
McLaren Lapeer Region Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1200 Barry Dr
Lapeer, MI 48446
Phone (810) 664-4532

1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531

809 W Dryden Rd
Metamora, MI 48455
Phone (810) 678-4000

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1841290970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S. BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323638",
            "telephone_number": "810-342-1000",
            "fax_number": "810-342-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 N. MAIN ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "48446",
            "telephone_number": "810-664-4531",
            "fax_number": "810-667-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "BRIAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0051841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

Verify at the official NPI Registry.