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MR. RICHARD WALLACE GLASS SA (PA)
NPI 1447366943
Physician Assistant - Surgical in Birmingham, AL

Active since August 21, 2006PECOS Enrolled
700 19TH ST S, SURGICAL SVC (112), BIRMINGHAM, AL 35233(205) 933-8101(205) 558-4732 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Richard Wallace Glass Sa (pa) NPPES

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

MR. RICHARD WALLACE GLASS SA (PA) (NPI 1447366943) is an individual surgical provider in Birmingham, Alabama and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447366943
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. RICHARD WALLACE GLASSCredential: SA (PA)
Location Address700 19TH ST S, SURGICAL SVC (112)Birmingham, AL 35233-1927
Mailing Address29 Mary Ann LnTrussville, AL 35173-4346 · (205) 467-3475 · Fax (205) 558-4732
Phone(205) 933-8101
Fax(205) 558-4732
Sole ProprietorNo
Enumeration DateAugust 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1447366943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
700 19TH ST S, Birmingham, AL 35233
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Richard Wallace Glass Sa (pa) 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 20

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

KISHA CAROL DAVIS LPN
Licensed Practical Nurse
700 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 933-8101
MARY JANE MOORE CRNP
Nurse Practitioner (Family)
700 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 933-8101
MS. JENESIS C. SAFFORD DPT
Physical Therapist
700 19TH ST S, ROOM 8307
BIRMINGHAM, AL 35233
Jefferson County (205) 933-4390
MS. JACQUELINE MARIE CLARK RN
Registered Nurse
700 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 933-8101
MELISSA EVANS
Social Worker (Clinical)
700 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 369-0865
MR. JONATHAN PAUL WAGER R.T. (R)(CT)(MR)(BD)
Radiology (Diagnostic Radiology)
700 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (541) 733-2411
TIFFANY ADAMS MCGEE
Registered Nurse
700 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 933-8101
NAOMIE LOUIS-JEUNE
Registered Nurse (General Practice)
700 19TH ST S
BIRMINGHAM, AL 35233
Jefferson County (205) 933-8101

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 Richard Glass's NPI number?

The NPI number for Richard Glass is 1447366943. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Richard Glass located?

Richard Glass practices at 700 19th St S Surgical Svc (112), Birmingham, AL 35233. The listed phone number is (205) 933-8101.

What is Richard Glass's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Richard Glass enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Richard Glass was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.