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DR. GLEN A DOHERTY MD PHD
NPI 1407094451
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since January 29, 2009
330 BROOKLINE AVE, BIDMC, GI, DIVISION, E/DANA-501, BOSTON, MA 02215(617) 735-2929(617) 735-2930 Get Directions Write a Review

NPPES record last updated: January 29, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Glen A Doherty Md Phd NPPES

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

DR. GLEN A DOHERTY MD PHD (NPI 1407094451) is an individual student in an organized health care education/training program in Boston, Massachusetts, licensed in Massachusetts (237937) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1407094451
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. GLEN A DOHERTYCredential: MD PHD
Location Address330 BROOKLINE AVE, BIDMC, GI, DIVISION, E/DANA-501Boston, MA 02215-5400
Mailing Address1330 Boylston St, Apt 614Boston, MA 02215-4229 · (617) 735-2929 · Fax (617) 735-2930
Phone(617) 735-2929
Fax(617) 735-2930
Sole ProprietorNo
Enumeration DateJanuary 29, 2009
✔ NPI 1407094451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MA · 237937
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.
330 BROOKLINE AVE, Boston, MA 02215
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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.

BETH ISRAEL DEACONESS MEDICAL CENTER
Chronic Disease Hospital (Children)
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 677-4042
DR. BRIAN DANIEL HOBBS MD, MMSC
Internal Medicine
330 BROOKLINE AVE, PULMONARY AND CRITICAL CARE DEPARTMENT
BOSTON, MA 02215
Suffolk County (617) 667-5864
ERICA DOMMASCH MD
Dermatology
330 BROOKLINE AVE, SHAPIRO 2
BOSTON, MA 02215
Suffolk County (617) 667-3753
VAHID KIARAD M.D
Anesthesiology
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
DR. JONATHAN DAVID THOMAS MD
Internal Medicine (Hematology)
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
JULIA MARIE BERG MD
Internal Medicine
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
DR. MICHAEL R GOLDSTEIN PHD
Psychologist (Clinical)
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 356-7246
SARA MURDOCK CAHILL MD
Hospitalist
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000

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 Glen Doherty's NPI number?

The NPI number for Glen Doherty is 1407094451. It was assigned to this individual provider in the NPPES registry on January 29, 2009.

Where is Glen Doherty located?

Glen Doherty practices at 330 Brookline Ave Bidmc, Gi, Division, E/Dana-501, Boston, MA 02215. The listed phone number is (617) 735-2929.

What is Glen Doherty's specialty?

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

When was this NPI record last updated?

The NPPES record for Glen Doherty was last updated on January 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.