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RICHARD DENNIS GLISSON D.O. NPI 1376503003


NPI Information

NPI: 1376503003
Provider Name: RICHARD DENNIS GLISSON, D.O.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
124 HEBRON AVE STE 1B
GLASTONBURY, CT
ZIP 06033
Phone: (860) 633-8806
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Richard Dennis Glisson, D.O. is a diagnostic radiology radiology in Glastonbury, CT with 34 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Richard Dennis Glisson, D.O. NPI is 1376503003. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

124 HEBRON AVE STE 1B
GLASTONBURY, CT
ZIP 06033
Phone: (860) 633-8806
Fax: (860) 657-3788

The NPI 1376503003 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 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.

  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Mammography of both breasts (HCPCS:77067)
  • Ct scan head or brain (HCPCS:70450)
  • Ct scan of abdomen and pelvis (HCPCS:74176)

The enumeration date for this NPI number is 3/25/2006 and was last updated on 7/18/2018.


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
12085R0202XRadiologyDiagnostic Radiology038819CONNECTICUTYes

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
1001388190MEDICAIDCONNECTICUT
2300117748OTHERCONNECTICUTRAILROAD MEDICARE
3300117753OTHERCONNECTICUTRAILROAD MEDICARE
4300117761OTHERCONNECTICUTRAILROAD MEDICARE
5040038819CT03OTHERCONNECTICUTANTHEM BC/BS
6040038819CT02OTHERCONNECTICUTANTHEM BC/BS
7040038819CT08OTHERCONNECTICUTANTHEM BC/BS
8300117769OTHERCONNECTICUTRAILROAD MEDICARE
9300117740OTHERCONNECTICUTRAILROAD MEDICARE
10040038819CT05OTHERCONNECTICUTANTHEM BC/BS
11300117757OTHERCONNECTICUTRAILROAD MEDICARE
12040038819CT09OTHERCONNECTICUTANTHEM BC/BS

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.