Active NPI
Glauber Bruno Pereira, MD, PHD
- Pulmonary Disease Physician
- Rogers, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- E-12963
- Practice address
- 2708 S Rife Medical LN Ste T20
Rogers, AR 72758-1469 - Phone
- (479) 338-3089
- NPI assigned
- Apr 26, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | E-12963 | AR | |
| Pulmonary Disease Physician | 207RP1001X | E-12963 | AR | Primary |
Addresses
Primary practice location
2708 S Rife Medical LN Ste T20
Rogers, AR 72758-1469
Mailing address
2708 S Rife Medical LN Ste T20
Rogers, AR 72758-1469
Phone (479) 338-3080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of Arkansas College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2708 S Rife Medical LN
Suite T30
Rogers, AR 72758-1458
Phone (479) 338-3999
2710 S Rife Medical LN
Rogers, AR 72758-1452
Phone (479) 636-0200
3101 SE 14TH St
Bentonville, AR 72712-4900
Phone (479) 631-2100
Hospital & facility affiliations
- Mercy Hospital Northwest Arkansas
- Mercy Hospital Fort Smith
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-12963 | AR | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients |
Locations
3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100
2708 S Rife Medical Ln
Ste T20
Rogers, AR 72758
Phone (479) 338-3080
Interoperability endpoints
- gpereira1056690@directc.mercy.net
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1699016774
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1770087371
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1568433480
-
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596499200000",
"number": "1841610037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2708 S RIFE MEDICAL LN STE T20",
"city": "ROGERS",
"state": "AR",
"postal_code": "727581469",
"telephone_number": "479-338-3080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2708 S RIFE MEDICAL LN STE T20",
"city": "ROGERS",
"state": "AR",
"postal_code": "727581469",
"telephone_number": "479-338-3089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREIRA",
"first_name": "GLAUBER",
"middle_name": "BRUNO",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-26",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "AR",
"license": "E-12963",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "AR",
"license": "E-12963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.