Individual
BILLY L GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 NEWMAN RD, NEW BERN, NC 28562-5253
(252) 672-7738
(252) 635-6951
Mailing address
1001 NEWMAN RD, NEW BERN, NC 28562-5253
(252) 635-6777
(252) 635-9641
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
9601617
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141AT
BCBSNC
NC
01
—
184407
MEDCOST
NC
01
—
4993975
CIGNA HEALTHCARE
NC
05
—
5902429
—
NC
01
—
P00277932
RAILROAD MEDICARE
NC
Enumeration date
09/07/2006
Last updated
03/25/2010
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