Provider Demographics
NPI:1427011329
Name:GLAZIER, DAVID B (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:B
Last Name:GLAZIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9101 STONY POINT DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235
Mailing Address - Country:US
Mailing Address - Phone:804-330-9105
Mailing Address - Fax:804-287-6119
Practice Address - Street 1:9101 STONY POINT DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235
Practice Address - Country:US
Practice Address - Phone:804-330-9105
Practice Address - Fax:804-287-6119
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101 2306732088F0040X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No2088F0040XAllopathic & Osteopathic PhysiciansUrologyFemale Pelvic Medicine and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7590118OtherAETNA PPO
VAC04008OtherMEDICARE GROUP #
VA020324000-00OtherQUALCHOICE
VA139234OtherSOUTHERN HEALTH
VA40702OtherSENTARA FAMILY CARE
VA290731OtherALLIANCE
VA249825234OtherTRICARE
VA2571549OtherAETNA HMO
VA28045OtherCIGNA
VA340019088OtherRAILROAD MEDICARE
VA33869OtherCARENET
VACC6581OtherRAILROAD MEDICARE GROUP #
VA007503997Medicaid
VA1900017OtherUNITED HEALTHCARE
VAC04008OtherMEDICARE GROUP #
VACC6581OtherRAILROAD MEDICARE GROUP #