Basic Information
| Provider Information | |||||||||
| NPI: | 1083669964 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VANDERVER | ||||||||
| FirstName: | GLENN BRUCE | ||||||||
| MiddleName: | GRIMES | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 785 5TH AVE | ||||||||
| Address2: | |||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172014232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172639555 | ||||||||
| FaxNumber: | 7172174218 | ||||||||
| Practice Location | |||||||||
| Address1: | 112 N 7TH ST | ||||||||
| Address2: | |||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172011720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172174300 | ||||||||
| FaxNumber: | 7172174217 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/23/2006 | ||||||||
| LastUpdateDate: | 02/06/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/06/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD447885 | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | D0063178 | MD | N | Allopathic & Osteopathic Physicians | Internal Medicine | 2083P0901X | MD447885 | PA | N | Allopathic & Osteopathic Physicians | Preventive Medicine | Public Health & General Preventive Medicine | 208M00000X | MD447885 | PA | Y | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | 647682 01 | 01 | MD | CAREFIRST BC BS | OTHER | 102820537 | 05 | PA | MEDICAID | 3810005850 | 05 | WV | MEDICAID | J697 0007 | 01 | DC | BLUE CHOICE | OTHER | KS04 | 01 | MD | MEDICARE | OTHER | P00337741 | 01 | MD | TRAVELERS MEDICARE | OTHER | 415402900 | 05 | MD | MEDICAID |