DR. BRADLEY HOLMAN GLENN MD
NPI 1043749872
Family Medicine in Wailuku, HI

Q: What is Bradley Glenn's NPI number?

The NPI number for Bradley Glenn is 1043749872. It was assigned to this individual provider in the NPPES registry on June 6, 2017. The provider is also known as Dr. Bradley Keith Holman MD.

Q: What is Bradley Glenn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Glenn was last updated on September 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 06, 2017PECOS EnrolledAccepts Medicare Assignment

85 MAUI LANI PKWY, WAILUKU, HI 96793(808) 244-5366 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 27, 2020, Jun 6, 2017 (2 updates tracked since 2017).

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About Dr. Bradley Holman Glenn Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRADLEY HOLMAN GLENN MD (NPI 1043749872) is an individual family medicine provider in Wailuku, Hawaii, licensed in Hawaii (MD-21314) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Maui Memorial Medical Center, and maintains a secondary practice location in Wailuku.

NPPES Registry Identity

NPI1043749872

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. BRADLEY HOLMAN GLENNCredential: MD

Location Address85 MAUI LANI PKWYWailuku, HI 96793-2416

Mailing Address85 Maui Lani PkwyWailuku, HI 96793-2416 · (808) 244-5366

Phone(808) 244-5366

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 6, 2017

Last NPPES UpdateSeptember 2, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2021

✔ NPI 1043749872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in HI · MD-21314

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

85 MAUI LANI PKWY, Wailuku, HI 96793

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Other Names 1

Former Name (1)Dr. Bradley Keith Holman Md

Secondary Practice Location 1

Location 1221 Mahalani StWailuku, HI 96793-2526 · Phone (808) 244-9056

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bradley Holman Glenn Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911230016

PECOS Enrollment IDI20210730001261

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

528 services215 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

52 services52 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

47 services40 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

36 services36 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

16 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maui Memorial Medical Center

Acute Care Hospitals · Wailuku, HI

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number120002

Location221 Mahalani StreetWailuku, HI 96793 · Maui County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96793 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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