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COLLIER BRANAN GLADIN M.D. NPI 1063527430


NPI Information

NPI: 1063527430
Provider Name: COLLIER BRANAN GLADIN, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 11D0948963

Address:
140 N CREST BLVD
MACON, GA
ZIP 31210
Phone: (478) 757-8335
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Collier Branan Gladin, M.D. is a family medicine in Macon, GA with 38 years of experience. The provider is 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. Collier Branan Gladin, M.D. NPI is 1063527430. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MERCER UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1986

The provider's business location address is:

140 N CREST BLVD
MACON, GA
ZIP 31210-845
Phone: (478) 757-8335
Fax: (478) 757-8353

The NPI 1063527430 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 11D0948963 - physician office with a certificate type of Certificate of Compliance.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Automated urinalysis test (HCPCS:81003)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Bone density measurement using dedicated x-ray machine (HCPCS:77080)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Removal of impact ear wax, one ear (HCPCS:69210)

The enumeration date for this NPI number is 8/19/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine030609GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1030609OTHERGEORGIASTATE LICENSE
2D29570MEDICARE UPINGEORGIA
308BDPCRMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
400383446DMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.