Brendan Glowacki, FNP-BC, CRNP-FAMILY

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R216694 Issued in MD

Practice address

985 Prince Frederick Blvd
Suite 201
Prince Frederick, MD 20678-3492

Phone

(410) 535-2005

Fax

(410) 535-4850

NPI assigned

Aug 6, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Calvert Internal Medicine Group, PAGroup PAC ID 1759371834, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chesapeake - Potomac Home Health Agency, Inc. Home health agency, Hughesville, MD, CCN 217138
• Medstar Health Home Care Home health agency, Hyattsville, MD, CCN 217150
• Medstar Saint Mary'S Hospital Hospital, Leonardtown, MD, CCN 210028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: bglowacki@calvertinternalmedicine.medentdirect.com

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.

• Calvert Internal Medicine Group PA

  • Internal Medicine Physician
  • Prince Frederick, MD
  • NPI 1174682298
  Medicare reassignment Care Compare group
• Medstar Medical Group - Southern Maryland LLC

  • Internal Medicine Physician
  • Hollywood, MD
  • NPI 1831592211
  Medicare reassignment
• Glenn G. Marinelli MD PA

  • Otolaryngology Physician
  • Prince Frederick, MD
  • NPI 1780854885
  NPD (past)
• Medstar Southern Maryland Physicians, LLC

  • Obstetrics & Gynecology Physician
  • White Plains, MD
  • NPI 1366644197
  NPD (past)

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

• Chesapeake-Potomac Home Health Agency, Inc

  • Home Health Agency
  • Hughesville, MD
  • NPI 1184627234
  Care Compare affiliation
• Medstar Health Visiting Nurse Association, Inc.

  • Home Health Agency
  • Greenbelt, MD
  • NPI 1154437879
  Care Compare affiliation
• St Marys Hospital of St Marys County Inc

  • General Acute Care Hospital
  • Leonardtown, MD
  • NPI 1780650473
  Care Compare affiliation

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1871148973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 PRINCE FREDERICK BLVD",
            "address_2": "SUITE 201",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783492",
            "telephone_number": "410-414-5302",
            "fax_number": "443-432-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 PRINCE FREDERICK BLVD",
            "address_2": "SUITE 201",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783492",
            "telephone_number": "410-535-2005",
            "fax_number": "410-535-4850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Defense Hwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Crofton",
            "state": "MD",
            "postal_code": "211142458",
            "country_code": "US",
            "telephone_number": "410-721-5280",
            "fax_number": "410-721-2243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOWACKI",
        "first_name": "BRENDAN",
        "name_prefix": "Dr.",
        "credential": "FNP-BC, CRNP-FAMILY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-06",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R216694",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R216694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192205000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Giles, RN
• Teresa Gingras
• Hilary W Ginter, MD
• Glenn G. Marinelli MD PA
• David M. Glenn
• Harry Goldwater, LCSW-C
• Janiffer L Gomes, PHARMD
• Dajuana Goodwin, LCPC
• Sharene Gordon, PT
• Alexander Stephen Graham

• Family Nurse Practitioner in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.

Verify at the official NPI Registry.