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BRADLEY J GLENN MD
NPI 1699701680
Radiology - Neuroradiology in Danville, CA

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
784 EL PINTADO RD, DANVILLE, CA 94526(920) 562-6481 Get Directions Write a Review

NPPES record last updated: August 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradley J Glenn Md NPPES

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

BRADLEY J GLENN MD (NPI 1699701680) is an individual neuroradiology provider in Danville, California, licensed in Wisconsin (47408) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1987).

NPPES Registry Identity

NPI1699701680
Entity TypeIndividualMale
Primary Taxonomy2085N0700X
Provider Legal NameBRADLEY J GLENNCredential: MD
Location Address784 EL PINTADO RDDanville, CA 94526-1407
Mailing Address784 El Pintado RdDanville, CA 94526-1407 · (920) 562-6481
Phone(920) 562-6481
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1987
Enumeration DateJune 23, 2006
Last NPPES UpdateAugust 18, 2008
✔ NPI 1699701680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · NeuroradiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085N0700X
License✔ Licensed in WI · 47408
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
784 EL PINTADO RD, Danville, CA 94526
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Other Identifiers 3

Medicare UPINF38974WI
Medicare ID-Type Unspecified021907650WI
Medicaid34588100WI

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

Bradley J 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 ID3375506272
PECOS Enrollment IDI20081205000611
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.

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 Bradley Glenn's NPI number?

The NPI number for Bradley Glenn is 1699701680. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Bradley Glenn located?

Bradley Glenn practices at 784 El Pintado Rd, Danville, CA 94526. The listed phone number is (920) 562-6481.

What is Bradley Glenn's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.

Is Bradley Glenn enrolled in Medicare?

Yes. Bradley Glenn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Bradley Glenn was last updated on August 18, 2008. 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.