Individual provider Active NPI

Christopher James Glenn, M.D.

  • Obstetrics Physician
  • Kingwood, TX
National Provider Identifier
1992786149
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
J5579 Issued in TX
Practice address
19701 Kingwood Dr BLDG 5
Kingwood, TX 77339-3773
Phone
(281) 319-4111
Fax
(281) 319-4623
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X J5579 TX Primary

Addresses

Primary practice location

19701 Kingwood Dr BLDG 5
Kingwood, TX 77339-3773

Mailing address

19701 Kingwood Dr BLDG 5
Kingwood, TX 77339-3773
Phone (281) 319-4111

Other identifiers 1

IdentifierTypeStateIssuer
113814105MedicaidTX

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051107000375 TX Practitioner - Obstetrics/Gynecology 2264450477 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at Houston, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Texas Holdings PAGroup PAC ID 3577713072, 176 clinicians

Practice addresses (Care Compare)

22999 Hwy 59 N
Kingwood, TX 77339-4412
Phone (800) 967-2289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J5579TXMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woodlands Womens Care PLLC CurrentSince Oct 1, 2021 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Jun 15, 2024 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Jun 15, 2024 Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7777 Southwest Fwy
Ste 312
Houston, TX 77074

7900 Fannin St
Houston, TX 77054
Phone (713) 512-7505

1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

1213 Hermann Dr
Ste 230
Houston, TX 77004
Phone (713) 533-0900

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

19701 Kingwood Dr
Bldg 5
Kingwood, TX 77339
Phone (281) 319-4111

22999 Highway 59 N
Ste 150
Kingwood, TX 77339
Phone (281) 358-2426

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

1120 Medical Plaza Dr
Ste 255
Shenandoah, TX 77380
Phone (832) 663-6367

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

1001 Medical Plaza Dr
Ste 280
The Woodlands, TX 77380
Phone (281) 363-4445

Interoperability endpoints

  • Direct secure messaging: glenn.christopher.1@8042.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1992786149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19701 KINGWOOD DR BLDG 5",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393773",
            "telephone_number": "281-319-4111",
            "fax_number": "281-319-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19701 KINGWOOD DR BLDG 5",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393773",
            "telephone_number": "281-319-4111",
            "fax_number": "281-319-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "J5579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113814105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.