Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Glen William Barrisford, MD

Individual provider Urology Physician · NPI 1457428724

Dr. Glen William Barrisford, MD is an Urology in Boston, Massachusetts. Qualified in 1998, 28 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in Indiana and Massachusetts.

Years since qualifying
28
Licensed in
IN, MA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Fruit Street Massachusetts General Hospital
Boston, MA 02114-2621
Phone: (617) 726-4530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 250437 (MA)
Urology Physician Taxonomy 208800000X · Licence 215212 (MA)
Urology Physician Taxonomy 208800000X · Licence 01052414A (IN)

Record details

NPI number1457428724
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 29, 2006
Last updated in NPPESFebruary 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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