Organization Active NPI

Brian Glass MD OB/GYN

  • Obstetrics & Gynecology Physician
  • Dalton, GA
National Provider Identifier
1992903165
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
032911 Issued in GA
Legal business name
BRIAN GLASS MD OB/GYN
Practice address
1109 Burleyson Rd Ste 205
Dalton, GA 30720-3094
Phone
(706) 428-3822
Fax
(706) 428-3864
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Brian A Glass, MDNPI 1265429146
Title
Owner
Phone
(706) 428-3822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 032911 GA Primary

Addresses

Primary practice location

1109 Burleyson Rd Ste 205
Dalton, GA 30720-3094

Mailing address

1109 Burleyson Rd Ste 205
Dalton, GA 30720-3094
Phone (706) 428-3822

National Provider Directory

National Provider Directory

Locations

1109 Burleyson Rd
Ste 205
Dalton, GA 30720
Phone (706) 278-4640

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1992903165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 BURLEYSON RD STE 205",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203094",
            "telephone_number": "706-428-3822",
            "fax_number": "706-428-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 BURLEYSON RD STE 205",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203094",
            "telephone_number": "706-428-3822",
            "fax_number": "706-428-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN GLASS MD OB/GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-428-3822",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "032911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.