Glenn Roland Stockbridge, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

TX1201 Issued in TX

Practice address

3912 Tanglewood Lane
Odessa, TX 79762-7165

Phone

(432) 367-9944

Fax

(432) 368-7600

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical Center Hospital Hospital, Odessa, TX, CCN 450132

Merit-based Incentive Payment System (MIPS)

Final score

47.95 of 100Reported as individual

Quality

0

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Ector County Hospital District

  • Federally Qualified Health Center (FQHC)
  • Odessa, TX
  • NPI 1578265302

  Hospital

  Care Compare affiliation
• Ector County Hospital District

  • General Acute Care Hospital
  • Odessa, TX
  • NPI 1740273994
  Care Compare affiliation

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1881704252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 TANGLEWOOD LANE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797627165",
            "telephone_number": "432-367-9944",
            "fax_number": "432-368-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3912 TANGLEWOOD LANE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797627165",
            "telephone_number": "432-367-9944",
            "fax_number": "432-368-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKBRIDGE",
        "first_name": "GLENN",
        "middle_name": "ROLAND",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "TX1201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mason Ryan Steen, D.C.
• Joshua B Steger, OD
• Nicole Leann Stennett, MPAS, PA-C
• John Stewart
• Michelle Stewart, PT, DPT
• Judith Stoker
• Patricia Stoltz, DNP, RN, PCNS-BC
• Barbara Stone, MSN, IBCLC
• Judi Sheerin Stonedale, DO
• Scott Stout, FNP-C

• Podiatrist in Odessa, TX
• Providers in Odessa, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.