Bradley J Glenn (NPI# 1699701680, PAC ID# 3375506272) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1699701680 |
| PAC ID by PECOS | 3375506272 |
| Professional Enrollment ID | I20081205000611 |
| Full Name | Bradley J Glenn |
| Organization Legal Name | MODESTO RADIOLOGICAL MEDICAL GROUP INC |
| Address |
1524 Mchenry Ave Suite 100 Modesto CA 95350-4566 |
| Phone Number | 2095774444 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 2062300239 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050464 | DOCTORS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1524 Mchenry Ave, Suite 100, Modesto, CA 95350-4566 | 2095774444 | MODESTO RADIOLOGICAL MEDICAL GROUP INC |
| Organization Legal Name | MODESTO RADIOLOGICAL MEDICAL GROUP INC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nia K Sawyer | Diagnostic Radiology | Modesto Radiological Medical Group Inc | 3900 Geer Rd, Turlock, CA 95382-1147 |
| Jocelyn Impas Espiritu | Nuclear Medicine | Modesto Radiological Medical Group Inc | 1441 Florida Ave, Modesto, CA 95350-4404 |
| Michael R Klieger | Diagnostic Radiology | Modesto Radiological Medical Group Inc | 3900 Geer Rd, Turlock, CA 95382-1147 |
| Nalini Kandallu | Physician Assistant | Modesto Radiological Medical Group Inc | 1441 Florida Ave, Modesto, CA 95350-4404 |
| Jerry I Grigoropoulos | Diagnostic Radiology | Modesto Radiological Medical Group Inc | 3900 Geer Rd, Turlock, CA 95382-1147 |
| Richard B Haak | Interventional Radiology | Modesto Radiological Medical Group Inc | 1441 Florida Ave, Modesto, CA 95350-4404 |
| Kirsten L Gaarder | Diagnostic Radiology | Modesto Radiological Medical Group Inc | 3900 Geer Rd, Turlock, CA 95382-1147 |
| Michael A Zeppa | Diagnostic Radiology | Modesto Radiological Medical Group Inc | 1441 Florida Ave, Modesto, CA 95350-4404 |
| Jill K Furubayashi | Diagnostic Radiology | Modesto Radiological Medical Group Inc | 1524 Mchenry Ave, Suite 100, Modesto, CA 95350-4566 |
| James W Jaffe | Interventional Radiology | Modesto Radiological Medical Group Inc | 3900 Geer Rd, Turlock, CA 95382-1147 |
| Street Address |
1524 MCHENRY AVE SUITE 100 |
| City | MODESTO |
| State | CA |
| Zip | 95350-4566 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Clarke | Physical Therapy | County of Stanislaus | 1524 Mchenry Ave, Suite 300, Modesto, CA 95350-4570 |
| Jennifer Serene Wong | Sports Medicine | County of Stanislaus | 1524 Mchenry Ave, Suite 330, Modesto, CA 95350-4567 |
| Sharon K Snarr | Physical Therapy | County of Stanislaus | 1524 Mchenry Ave, Suite 300, Modesto, CA 95350-4570 |
| Carrie R Janiski | Orthopedic Surgery | County of Stanislaus | 1524 Mchenry Ave, Suite 330, Modesto, CA 95350-4567 |
| Wesley M Tresenriter | Physical Therapy | County of Stanislaus | 1524 Mchenry Ave, Suite 300, Modesto, CA 95350-4570 |
| Charles O Slocumb | Obstetrics/gynecology | 1524 Mchenry Ave, Suite 520, Modesto, CA 95350-4572 | |
| Shira Leah Koss | Otolaryngology | County of Stanislaus | 1524 Mchenry Ave, Suite 300, Modesto, CA 95350-4570 |
| Jill K Furubayashi | Diagnostic Radiology | Modesto Radiological Medical Group Inc | 1524 Mchenry Ave, Suite 100, Modesto, CA 95350-4566 |
| Dustyn S Marshall | Interventional Radiology | Modesto Radiological Medical Group Inc | 1524 Mchenry Ave, Suite 100, Modesto, CA 95350-4566 |
| Halsey Leroy Corbett | Physical Therapy | County of Stanislaus | 1524 Mchenry Ave, Suite 330, Modesto, CA 95350-4567 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ladan P Hashemi | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
| Ashley Marruffo | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
| Jessica F Hoffman | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
| Lynne M Butner | Chiropractic | 1500 Standiford Ave B, Modesto, CA 95350-0592 | |
| Ronald J Mostowski | Chiropractic | 1500 Standiford Ave B, Modesto, CA 95350-0592 | |
| David A Heersink | Chiropractic | 1367 Standiford Ave, Modesto, CA 95350-0700 | |
| Mariza M Del Rosario-garcia | Psychiatry | Permanente Medical Group Inc | 1320 Standiford Ave, Suite 5, Modesto, CA 95350-0726 |
| Rean Hong | Clinical Psychologist | Permanente Medical Group Inc | 1320 Standiford Ave, Suite 5, Modesto, CA 95350-0726 |
| Michael Taylor | Chiropractic | 1421 Standiford Ave, B, Modesto, CA 95350-0730 | |
| Jeanne Abbott | Clinical Social Worker | 3300 Tully Rd, Suite C1, Modesto, CA 95350-0849 | |
| Find all physicians in zip 95350 | |||
| City | MODESTO |
| Zip Code | 95350 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MODESTO + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Bradley J Glenn.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.