Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glen N Dougherty Jr., MD

Individual provider Cardiovascular Disease Physician · NPI 1720021553

Glen N Dougherty Jr., MD is a Cardiovascular Disease (Cardiology) in Columbia, South Carolina. Graduated from University of South Carolina School of Medicine in 2000, 26 years ago. Practices with MUSC Community Physicians, a 1,339-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
26
Trained at
University of South Carolina School of Medicine
Licensed in
SC
In the registry since
2006
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

2001 Laurel St
Columbia, SC 29204-1018
Phone: (803) 254-3278
Fax: (803) 929-3256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 28734 (SC)

Record details

NPI number1720021553
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2006
Last updated in NPPESAugust 24, 2021
Certification dateAugust 24, 2021

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Musc Community Physicians — 1339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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