BRADLEY J GLENN (NPI# 1699701680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699701680 |
| Entity Type | Individual |
| Full Name | BRADLEY J GLENN |
| Credential | MD |
| Practice Address |
784 El Pintado Rd Danville CA 94526-1407 |
| Practice Telephone | 9205626481 |
| Mailing Telephone | 9205626481 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2008-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
47408 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34588100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043749872 | Bradley Holman Glenn | Family Medicine | 7301 E 2nd St., Ste. 210, Heuser Family Medicine Center, Scottsdale, AZ 85251 | 2017-06-06 |
| Street Address |
784 EL PINTADO RD |
| City | DANVILLE |
| State | CA |
| Zip Code | 94526-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346706363 | Todd M Yonemura Dds, Apc | Dentist | 400 El Cerro Blvd., Suite #103, Danville, CA 94526 | 2019-02-14 |
| 1821585415 | Cynthia N Atchoukeu | Behavior Technician | 811 San Ramon Valley Suite 100, Danville, CA 94526 | 2018-04-18 |
| 1649708850 | Michelle Nicole Kolander | Specialist/Technologist | 209 Rutherford Dr, Danville, CA 94526 | 2017-06-01 |
| 1396155594 | Laurie Elizabeth Wallis | Registered Nurse | 145 Town & Country Blvd., Suite 106, Danville, CA 94526 | 2014-04-28 |
| 1437585486 | Brielle Shipman | Chiropractor | 391 Diablo Rd, Ste B, Danville, CA 94526 | 2013-09-23 |
| 1841626298 | Gloria Lynn Kopp | Nurse Practitioner | 309 Windstream Place, Danville, CA 94526 | 2013-09-17 |
| 1023378635 | Vision Dynamics Optometric Center | Optometrist | 417 Sycamore Valley Road West, Danville, CA 94526 | 2012-05-17 |
| 1346517620 | Adam Wallach,m.d. A Professional Corporation | Specialist | 400 El Cerro Blvd., Ste. 204, Danville, CA 94526 | 2011-11-30 |
| 1184949661 | Judianne Marguriette Walker | Podiatrist | 1320 El Capitan Ste 410, Danville, CA 94526 | 2010-03-29 |
| 1619108685 | Brandon Riggins | Counselor | 115 Town and Country Dr., Danville, CA 94526 | 2009-08-07 |
| Find all providers in zip 94526 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306114061 | Andres Moreno De Luca | Radiology | 100 N Academy Ave # Mc20-07, Danville, PA 17822-9800 | 2011-12-09 |
| 1518384510 | Thu-thao Ngoc Ly | Radiology | 100 N Academy Ave, Danville, PA 17822-0005 | 2014-03-27 |
| 1487945325 | Evan Berkeley Young | Radiology | 100 N Academy Ave, Danville, PA 17822-0001 | 2011-04-26 |
| 1063711240 | Arbab Iqbal | Radiology | Geisinger Medical Ctr, 100 North Academy Avenue, Danville, PA 17822-0001 | 2011-03-27 |
| 1417278698 | Gino Mongelluzzo | Radiology | 100 North Academy Avenue, Danville, PA 17822-2007 | 2010-06-22 |
| 1346560844 | Kyaw N Tun | Radiology | 100 N Academy Ave, Danville, PA 17822-2007 | 2010-06-07 |
| 1518123231 | Marlene Baumann | Radiology | 100 N Academy Ave, Danville, PA 17822-2342 | 2008-08-01 |
| 1639375702 | Jeremy Sykes | Radiology | 100 N Academy Ave, Danville, PA 17822-5103 | 2007-06-25 |
| 1548399249 | Sabrina Talbott Browning | Radiology | 100 N Academy Ave, Danville, PA 17822-1518 | 2007-03-06 |
| 1144255993 | Joseph Lock | Radiology | 100 N Academy Ave, Danville, PA 17822-1777 | 2006-07-11 |
| Find all providers in DANVILLE | ||||
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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.