BRYAN R GLICK MBR
NPI 1093060717
General Practice in Scottsdale, AZ

NPI Status: Active since July 18, 2012

Contact Information

7659 E PINNACLE PEAK RD
STE 105
SCOTTSDALE, AZ
ZIP 85255
Phone: (480) 222-4600
Fax: (480) 222-4619

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  • Organization
  • General Practice
  • CLIA Number: 03D1066377
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-21-2027

About BRYAN R GLICK MBR

This page provides the complete NPI Profile along with additional information for Bryan R Glick Mbr, a primary care provider established in Scottsdale, Arizona operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1093060717 assigned on July 2012. The practitioner's primary taxonomy code is 208D00000X with license number 005257 (AZ). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Bryan R Glick Mbr. The authorized official of this NPI record is Dr. Bryan R Glick Do (Owner)

NPI
1093060717
Provider Legal Name
INTEGRATIVE HEALTH INSTITUTE LLC
Other Organization Name
BRYAN R GLICK MBR
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
7659 E PINNACLE PEAK RD STE 105 SCOTTSDALE, AZ 85255
Location Phone
(480) 222-4600
Location Fax
(480) 222-4619
Mailing Address
7659 E PINNACLE PEAK RD STE 105 SCOTTSDALE, AZ 85255
Mailing Phone
(480) 222-4600
Mailing Fax
(480) 222-4619
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-18-2012
Last Update Date
10-11-2021
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A primary care provider (PCP) like Bryan R Glick Mbr sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
005257
License State
AZ
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BRYAN R GLICK DO

Authorized Official Title
OWNER
Authorized Official Phone
(480) 222-4600

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D1066377
Facility Type
Physician Office
Certificate Effective Date
March 22, 2025
Certificate Expiration Date
March 21, 2027
Laboratory Director
BRYAN R. GLICK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bryan R Glick Mbr to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for BRYAN R GLICK MBR

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1093060717
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2018306072
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 0 + 6 + 0 + 7 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1093060717 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164620308 BRYAN R GLICK D.O.
Individual
Family Medicine7659 E PINNACLE PEAK RD SUITE 105
SCOTTSDALE, AZ 85255
(480) 222-4600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093060717, enumerated in the NPI registry as an "organization" on July 18, 2012

The provider is located at 7659 E Pinnacle Peak Rd Ste 105 Scottsdale, Az 85255 and the phone number is (480) 222-4600

This medical organization specializes in General Practice with taxonomy code 208D00000X

The provider's CLIA number is 03D1066377 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 18, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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