BRENDON JAMES GLASS MD
NPI 1316784275
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since July 09, 2024PECOS Enrolled
355 W 16TH ST STE 4800, INDIANAPOLIS, IN 46202(317) 963-7288 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2026, Dec 30, 2024, Jul 9, 2024 (3 updates tracked since 2024).

About Brendon James Glass Md NPPES

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

BRENDON JAMES GLASS MD (NPI 1316784275) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316784275
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRENDON JAMES GLASSCredential: MD
Location Address355 W 16TH ST STE 4800Indianapolis, IN 46202-2392
Mailing Address355 W 16th St Ste 4800Indianapolis, IN 46202-2392 · (317) 963-7288
Sole ProprietorNo
Enumeration DateJuly 9, 2024
Last NPPES UpdateApril 14, 20263 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
NPI 1316784275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
355 W 16TH ST STE 4800, Indianapolis, IN 46202

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brendon James Glass Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 3

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

Psychiatry & Neurology (Psychiatry)
355 W 16TH ST STE 4800
INDIANAPOLIS, IN 46202
Psychiatry & Neurology (Psychiatry)
355 W 16TH ST STE 4800
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 4800
INDIANAPOLIS, IN 46202

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 Brendon Glass's NPI number?

The NPI number for Brendon Glass is 1316784275. It was assigned to this individual provider in the NPPES registry on July 9, 2024.

Where is Brendon Glass located?

Brendon Glass practices at 355 W 16th St Ste 4800, Indianapolis, IN 46202. The listed phone number is (317) 963-7288.

What is Brendon Glass's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brendon Glass enrolled in Medicare?

Yes. Brendon Glass is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brendon Glass was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.