DR. BRYAN C GLENN (NPI# 1295721843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295721843 |
| Entity Type | Individual |
| Full Name | DR. BRYAN C GLENN |
| Credential | D.C. |
| Practice Address |
535 Lincoln Way W Mishawaka IN 46544-1800 |
| Practice Telephone | 5742551716 |
| Mailing Telephone | 5742551716 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2011-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 08001703A | IN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200119230A | 05 | |
| IN | ANTHEM | 000000202168 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487733259 | Bryan H. Glenn | Podiatrist | 700 W Kingshighway Ste A, Paragould, AR 72450-5929 | 2006-11-03 |
| Street Address |
535 LINCOLN WAY W |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46544-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730209479 | A Family Chiropractic Center, PC | Chiropractor | 535 Lincoln Way W, Mishawaka, IN 46544-1800 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692676 | Lynnette Markowicz | Occupational Therapist | 1540 S. Logan St, Mishawaka, IN 46544 | 2020-09-08 |
| 1902429822 | Hellenic Senior Living of Mishawaka LLC | Assisted Living Facility | 1540 S. Logan Street, Mishawaka, IN 46544 | 2020-05-27 |
| 1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
| 1376072785 | Aims, LLC | Psychologist | 1113 Mossy Lane, Mishawaka, IN 46544 | 2017-06-08 |
| 1760835912 | Ophelia Ansari | Nurse Practitioner | 4501 Linconway East, Mishawaka, IN 46544 | 2016-07-22 |
| 1598153355 | Hearing Aid Service | Hearing Instrument Specialist | 3718 Lincolnway E, Mishawaka, IN 46544 | 2015-01-02 |
| 1437587953 | Christopher Ryan Hazel | Dentist | 544 Lincolnway West, Mishawaka, IN 46544 | 2013-10-18 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1023251337 | Josephine Schimizzi | Family Medicine | 1505 South Spring Street, Mishawaka, IN 46544 | 2009-04-16 |
| 1881831147 | Walgreen Co | Pharmacy | 4620 Lincolnway E, Mishawaka, IN 46544 | 2009-01-08 |
| Find all providers in zip 46544 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1649693292 | Ryan Alan Morningstar | Chiropractor | 1722 East Day Rd., Mishawaka, IN 46545-4300 | 2014-01-31 |
| 1538505201 | Laura Colleen Kagarise | Chiropractor | 413 W Mckinley Ave, Mishawaka, IN 46545-5599 | 2013-05-21 |
| 1528328697 | Bryan Chiropractic Center | Chiropractor | 236 W Edison Rd Ste 3, Mishawaka, IN 46545-3184 | 2012-05-23 |
| 1932227196 | Gerard Gordon Hofferth | Chiropractor | 826 W Edison Rd, Mishawaka, IN 46545-2744 | 2007-03-27 |
| 1457477663 | Mark C Smith | Chiropractor | 1632 Lincoln Way E, Mishawaka, IN 46544-2918 | 2007-03-21 |
| 1396898359 | Patrick E. Owens | Chiropractor | 913 W Mckinley Ave, Mishawaka, IN 46545-5511 | 2007-01-20 |
| 1801943089 | Preventive Medicine, PC | Chiropractor | 212 W Edison Rd Ste B, Mishawaka, IN 46545-8301 | 2007-01-03 |
| 1700949922 | Alfred Louis Pinto | Chiropractor | 212 W Edison Rd, Suite B, Mishawaka, IN 46545-8301 | 2006-12-19 |
| Find all providers in MISHAWAKA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.