1. Home
  2. Directory
  3. Maryland
  4. Clinton
  5. Family Medicine
  6. NPI Profile

GLENN R. EDGECOMBE, MD,PC
NPI 1083966055
Family Medicine in Clinton, MD

Active since October 15, 2012
7700 OLD BRANCH AVE, B201, CLINTON, MD 20735(301) 868-0150(301) 868-0243 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glenn R. Edgecombe, Md,pc NPPES

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

GLENN R. EDGECOMBE, MD,PC (NPI 1083966055) is a healthcare organization registered as a family medicine in Clinton, Maryland and active in the NPI registry since October 2012. The organization lists Glenn Robert Edgecombe, Physician, as its authorized official.

NPPES Registry Identity

NPI1083966055
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGLENN R. EDGECOMBE, MD,PC
Location Address7700 OLD BRANCH AVE, B201Clinton, MD 20735-1628
Mailing Address7700 Old Branch Ave, B201Clinton, MD 20735-1628 · (301) 868-0150 · Fax (301) 868-0243
Phone(301) 868-0150
Fax(301) 868-0243
Organization SubpartNo
Authorized OfficialGlenn Robert EdgecombePhysician · (301) 868-0150
Enumeration DateOctober 15, 2012
✔ NPI 1083966055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D0023826
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.
7700 OLD BRANCH AVE, Clinton, MD 20735
Open in Google Maps ↗

Other Identifiers 1

Medicaid020751900MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MIND OVER MATTER HEALTH SERVICES
Community/Behavioral Health
7700 OLD BRANCH AVE, B204
CLINTON, MD 20735
Prince George's County (301) 868-0849
AFFINITY HOME CARE LLC
Hospice Care, Community Based
7700 OLD BRANCH AVE
CLINTON, MD 20735
Prince George's County (301) 856-7222
BRITTANY DELOATCH NCC, LGPC
Counselor
7700 OLD BRANCH AVE, D103
CLINTON, MD 20735
Prince George's County (877) 214-3668
DRS.FERNANDEZ AND SRIPRASERT P.A.
Family Medicine
7700 OLD BRANCH AVE, SUITE C102
CLINTON, MD 20735
Prince George's County (301) 868-8200
JOSEPH PETER CARUSO M.D.
Family Medicine (Adult Medicine)
7700 OLD BRANCH AVE, SUITE D-203
CLINTON, MD 20735
Prince George's County (301) 868-1220
METRO BEHAVIORAL HEALTH SERVICES, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
7700 OLD BRANCH AVE
CLINTON, MD 20735
Prince George's County (703) 629-5768
SUMAN VARDAN M.D.
Internal Medicine
7700 OLD BRANCH AVE, SUITE D-203
CLINTON, MD 20735
Prince George's County (301) 868-1220
RICHARD F KAUFMAN D.D.S.
Dentist (General Practice)
7700 OLD BRANCH AVE, SUITE E102
CLINTON, MD 20735
Prince George's County (301) 449-3350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn R. Edgecombe, Md,pc's NPI number?

The NPI number for Glenn R. Edgecombe, Md,pc is 1083966055. It was assigned to this organization in the NPPES registry on October 15, 2012.

Where is Glenn R. Edgecombe, Md,pc located?

Glenn R. Edgecombe, Md,pc is located at 7700 Old Branch Ave B201, Clinton, MD 20735. The listed phone number is (301) 868-0150.

What is Glenn R. Edgecombe, Md,pc's specialty?

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

When was this NPI record last updated?

The NPPES record for Glenn R. Edgecombe, Md,pc was last updated on October 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.