GLENN D. HARRIS MD – NPI #1194717736
Pediatrics

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

GLENN HARRIS is a physician located in GREENVILLE, NC. NPPES has assigned the NPI number 1194717736 to GLENN HARRIS on August 19, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080P0203X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Critical Care Medicine

The NPI profile was previously updated about 15 years ago on Nov 29, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GLENN HARRIS below.

NPI Profile for
GLENN D. HARRIS

NPI Number
1194717736
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GLENN D. HARRIS
Credentials
MD
Primary location
2150 HERBERT CT
ECU PHYSICIANS PEDIATRIC SPECIALTY CARE CLINIC
GREENVILLE, NC 27834-3736
Phone: (252) 744-5437 Fax: (252) 744-1514
Mailing address
PO BOX 751069
CHARLOTTE, NC 28275-1069
Phone: (252) 744-3253 Fax: (252) 744-3194
Sole Proprietor
No
Updated
Identifiers

Identifiers for GLENN HARRIS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS NCNC39894
OTHERRAILROAD MEDICARENC370015146
MEDICAIDNC8939894
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0203X
- Pediatrics / Pediatric Critical Care Medicine (Primary)
NC 34620

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.