Beneranda Sophia Ford-Glanton, M.D.

Urology Physician · Belleville, IL

Individual Active NPI

NPI number 1124229901

Practice location

301 W Lincoln St Ste 201
Belleville, IL 62220-1901
Phone
(618) 641-5803
Fax
(618) 641-5813

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NPI record

NPI
1124229901
Entity type
Individual (Type 1)
Enumeration date
May 30, 2007
Last updated
August 23, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Urology Physician Primary 208800000X 036119047 IL

Mailing address

301 West Lincoln Street
Suite 201
Belleville, IL 62220
Phone
(618) 641-5803
Fax
(618) 641-5813

About Dr. Ford-Glanton

Beneranda Sophia Ford-Glanton, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Urology Physician (code 208800000X). The practice location is 301 W Lincoln St Ste 201, Belleville, IL 62220-1901. The NPI number 1124229901 was assigned on May 30, 2007 and the record was last updated on August 23, 2017.

Dr. Ford-Glanton lists a license in the registry: #036119047 (IL) for Urology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Beneranda Sophia Ford-Glanton, M.D.?

The NPI number is 1124229901.

What is the phone number of Dr. Ford-Glanton?

The phone number listed for the practice location is (618) 641-5803.

Where is Dr. Ford-Glanton located?

301 W Lincoln St Ste 201, Belleville, IL 62220-1901.

What is the taxonomy code for Dr. Ford-Glanton?

The primary taxonomy code is 208800000X – Urology Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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