| Dr Glenn Anthony Brien Jr, MD | |
|
104 Burney Dr, Flowood, MS 39232-6621 | |
| (601) 987-8200 | |
| (601) 987-8211 |
| Full Name | Dr Glenn Anthony Brien Jr |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 22 Years |
| Location | 104 Burney Dr, Flowood, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760627996 | NPI | - | NPPES |
| 06508393 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | M9881 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
| King's Daughters Medical Center-brookhaven | Brookhaven, MS | Hospital |
| Tyler Holmes Memorial Hospital Cah | Winona, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Capital Orthopaedic Clinic, Pllc | 0941215255 | 41 |
| Kdmc Physician Clinics Llc | 7012154495 | 28 |
| Entity Name | Capital Orthopaedic Clinic, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770687881 PECOS PAC ID: 0941215255 Enrollment ID: O20060208000127 |
| Entity Name | Kdmc Physician Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861739161 PECOS PAC ID: 7012154495 Enrollment ID: O20130501000541 |
| Entity Name | Specialty Surgical Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1588152920 PECOS PAC ID: 5597013466 Enrollment ID: O20180809000421 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glenn Anthony Brien Jr, MD Po Box 30594, Charlotte, NC 28230-0594 Ph: (601) 987-8200 | Dr Glenn Anthony Brien Jr, MD 104 Burney Dr, Flowood, MS 39232-6621 Ph: (601) 987-8200 |
William Owen Mccraney, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-8200 Fax: 601-987-8211 | |
Dr. Charles Delbert Hosemann Iii, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-8200 Fax: 601-987-8211 | |
Matthew Cassedy Futvoye, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-8200 Fax: 601-987-8211 | |
Dr. Roy Bradley Kellum Jr., M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-8200 Fax: 601-987-8211 | |
Aubrey Lucas, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1040 N Flowood Dr, Flowood, MS 39232 Phone: 601-936-9000 Fax: 769-990-4441 | |
Dr. Edwin Jeff Kennedy, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-8200 Fax: 607-987-8211 | |
Dr. Christopher James Kneip, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-8200 Fax: 601-987-8211 |