Glenn T Brothers (NPI# 1871549055, PAC ID# 9830184613) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1871549055 |
| PAC ID by PECOS | 9830184613 |
| Professional Enrollment ID | I20160926000941 |
| Full Name | Glenn T Brothers |
| Organization Legal Name | BON SECOURS AMBULATORY SERVICES - ST. FRANCIS, LLC |
| Address |
1800 Augusta St Suite B Greenville SC 29605-2928 |
| Phone Number | 8644127812 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0840590931 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420023 | ST FRANCIS-DOWNTOWN |
| 420078 | GHS GREENVILLE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1200 Brookfield Blvd, Suite 400b, Greenville, SC 29607-6583 | 8646053721 | ST FRANCIS PHYSICIAN SERVICES INC |
| 1467 Woodruff Rd, Suite C, Greenville, SC 29607-6505 | 8644588126 | BON SECOURS AMBULATORY SERVICES - ST. FRANCIS, LLC |
| 1800 Augusta St, Suite B, Greenville, SC 29605-2928 | 8644127812 | BON SECOURS AMBULATORY SERVICES - ST. FRANCIS, LLC |
| 3213 N Pleasantburg Dr, Suite E2, Greenville, SC 29609-2900 | 8644672005 | BON SECOURS AMBULATORY SERVICES - ST. FRANCIS, LLC |
| 1494 W Wade Hampton Blvd, Suite C, Greer, SC 29650-1166 | 8648498999 | BON SECOURS AMBULATORY SERVICES - ST. FRANCIS, LLC |
| 406 N Poinsett Hwy, Travelers Rest, SC 29690-1667 | 8648344151 | ST FRANCIS PHYSICIAN SERVICES INC |
| Organization Legal Name | BON SECOURS AMBULATORY SERVICES - ST. FRANCIS, LLC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendy Leigh Miller | Family Medicine | Bon Secours Ambulatory Services - St. Francis, LLC | 1800 Augusta St, Suite B, Greenville, SC 29605-2928 |
| Kristin Jones | Nurse Practitioner | Bon Secours Ambulatory Services - St. Francis, LLC | 3930 Grandview Dr, Suite B, Simpsonville, SC 29680-3163 |
| David Markus Diamant | Family Medicine | Bon Secours Ambulatory Services - St. Francis, LLC | 1467 Woodruff Rd, Suite C, Greenville, SC 29607-6505 |
| John N Strange Jr. | General Practice | Bon Secours Ambulatory Services - St. Francis, LLC | 3213 N Pleasantburg Dr, E2, Greenville, SC 29609-2900 |
| Lara M Hoshko | Physician Assistant | Bon Secours Ambulatory Services - St. Francis, LLC | 1800 B Augusta St, Greenville, SC 29605-2928 |
| Ivet Esperanza Hudson | Family Medicine | Bon Secours Ambulatory Services - St. Francis, LLC | 1467 Woodruff Rd, Suite C, Greenville, SC 29607-6505 |
| Lauren Roux | Physician Assistant | Bon Secours Ambulatory Services - St. Francis, LLC | 1467 Woodruff Rd, Suite C, Greenville, SC 29607-6505 |
| Richard G Leland Jr. | Family Medicine | Bon Secours Ambulatory Services - St. Francis, LLC | 1467 Woodruff Rd, Suite C, Greenville, SC 29607-6505 |
| Joy D Hudson | Family Medicine | Bon Secours Ambulatory Services - St. Francis, LLC | 1467 Woodruff Rd, Suite C, Greenville, SC 29607-6505 |
| Rebecca Leigh Alsip | Family Medicine | Bon Secours Ambulatory Services - St. Francis, LLC | 1467 Woodruff Rd, Suite C, Greenville, SC 29607-6505 |
| Street Address |
1800 AUGUSTA ST SUITE B |
| City | GREENVILLE |
| State | SC |
| Zip | 29605-2928 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendy Leigh Miller | Family Medicine | Bon Secours Ambulatory Services - St. Francis, LLC | 1800 Augusta St, Suite B, Greenville, SC 29605-2928 |
| Heather Bryant | Nurse Practitioner | Bon Secours Ambulatory Services - St. Francis, LLC | 1800 Augusta St, Suite B, Greenville, SC 29605-2928 |
| Ashley Ahearn | Physician Assistant | Bon Secours Ambulatory Services - St. Francis, LLC | 1800 Augusta St, Suite B, Greenville, SC 29605-2928 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor A Klimas | Internal Medicine | Carolina Nephrology Pa | 110 Chalmers Rd, Greenville, SC 29605-1351 |
| Willy C Tsai | Internal Medicine | Carolina Nephrology Pa | 110 Chalmers Rd, Greenville, SC 29605-1351 |
| Lara M Hoshko | Physician Assistant | Bon Secours Ambulatory Services - St. Francis, LLC | 1800 B Augusta St, Greenville, SC 29605-2928 |
| Rico A Aragon | Family Practice | Bon Secours Ambulatory Services - St. Francis, LLC | 1800 B Augusta St, Greenville, SC 29605-2928 |
| Chitra Nathan | Nephrology | Carolina Nephrology Pa | 203 Mills Ave, Greenville, SC 29605-4019 |
| Robert M Rogers | Dermatology | Robert M Rogers Md Pa | 213 Mills Ave, Greenville, SC 29605-4019 |
| Cynthia Evans | Nurse Practitioner | Carolina Nephrology Pa | 203 Mills Ave, Greenville, SC 29605-4019 |
| Brittani Ledford Robinson | Nurse Practitioner | Carolina Nephrology Pa | 203 Mills Ave, Greenville, SC 29605-4019 |
| John F Sharkey | Nurse Practitioner | Carolina Nephrology Pa | 203 Mills Ave, Greenville, SC 29605-4019 |
| Jasjot Kaur Bhullar | Nephrology | Carolina Nephrology Pa | 203 Mills Ave, Greenville, SC 29605-4019 |
| Find all physicians in zip 29605 | |||
| City | GREENVILLE |
| Zip Code | 29605 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GREENVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Glenn T Brothers.
| 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.