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Deactivated NPI 1699843789 Deactivated / Inactive NPI Male Practitioner

Glenn Marlin Bruxvoort , LCSW

Social Worker • Bryan, TX

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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, Glenn Bruxvoort has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 30, 2006
NPI Deactivation Date June 17, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Glenn Bruxvoort, LCSW was a registered Social Worker practicing in Bryan, TX. Throughout an active medical career spanning 15 years, Glenn Bruxvoort provided care at the practice location at 601 MARY LAKE DRIVE until profile deactivation on 2021-06-17.

Practice Location & Contact Primary Location

Practice Address

601 Mary Lake Drive

Bryan, TX 77801

Telephone 9792607805
Fax 9792602458

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Bryan, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
14 Specialists

Practicing in Bryan, TX (3758 Statewide)

Telehealth Adoption Rate
0.0% 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

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License TX 11556

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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 June 17, 2021

Record deactivated on June 17, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 601 MARY LAKE DRIVE, BRYAN, TX 77801 (Tel: 9792607805)

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Updated Business Mailing Address July 08, 2007

Registered at 601 MARY LAKE DRIVE, BRYAN, TX 77801 (Tel: 9792607805)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GLENN BRUXVOORT, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #11556 in TX)

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Initial NPI Registration & Enumeration November 30, 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: 1699843789
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2006
Last Update: July 08, 2007
Deactivation Date: June 17, 2021

Mailing Address

601 Mary Lake Drive

Bryan, TX 77801

Phone: 9792607805

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.