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Deactivated NPI 1972617819 Deactivated / Inactive NPI Male Practitioner

Dr. Glenn Jackson Bridges , MD

Urology • Dublin, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Glenn Bridges has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 18, 2006
NPI Deactivation Date November 06, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Glenn Bridges, MD was a registered Urology practicing in Dublin, GA. Throughout an active medical career spanning 14 years, Dr. Bridges provided care at the practice location at 1826 VETERANS BLVD until profile deactivation on 2020-11-06.

Practice Location & Contact Primary Location

Practice Address

1826 Veterans Blvd

Dublin, GA 310213620

Telephone 4782721210
Associated Practice Facility / Clinic
🏢 Dublin Vamc Facility NPI 1033168257

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Dublin, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.5 Yrs
State Avg: 27.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Dublin, GA (422 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License GA 009092

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Qiuping Pan

Family Medicine

NPI 1003080524
Tanisha Holmes , MSPT

Physical Therapist

NPI 1003830167

Master of Science in Physical Therapy

Kenneth Hill

Counselor - Addiction (Substance Use Disorder)

NPI 1003915695
Dr. Revathi Koneru , MD

Psychiatry & Neurology - Psychiatry

NPI 1023060266

Doctor of Medicine (M.D.)

Dr. William Simmons , MD

Psychiatry & Neurology - Psychiatry

NPI 1023074788

Doctor of Medicine (M.D.)

NPI 1023254794

Master of Social Work

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 06, 2020

Record deactivated on November 06, 2020

NPI Profile Active May 06, 2009

NPI status registered as active in NPPES database

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Updated Practice Location May 06, 2009

Registered at 1826 VETERANS BLVD, DUBLIN, GA 310213620 (Tel: 4782721210)

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Updated Business Mailing Address May 06, 2009

Registered at 2757 BUCKEYE RD, E DUBLIN, GA 310272309 (Tel: 4782750200)

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Provider Name / Credentials Updated May 06, 2009

Recorded as GLENN BRIDGES, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2009

Urology (License #009092 in GA)

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Initial NPI Registration & Enumeration August 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972617819
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2006
Last Update: May 06, 2009
Deactivation Date: November 06, 2020

Mailing Address

2757 Buckeye Rd

E Dublin, GA 310272309

Phone: 4782750200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.