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

Glen Russell Rubin, CNIM

Individual provider Electroneurodiagnostic Specialist/Technologist · NPI 1609643451

Glen Russell Rubin, CNIM is an Electroneurodiagnostic Specialist/Technologist in Brentwood, Tennessee. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3 Maryland Farms Ste 200
Brentwood, TN 37027-5780
Phone: (800) 348-4565
Fax: (888) 468-6511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Electroneurodiagnostic Specialist/Technologist (primary) Taxonomy 246ZE0600X

Record details

NPI number1609643451
Entity typeIndividual (Type 1)
GenderMale
Credentials CNIM
Sole proprietorNo
NPI enumeratedDecember 11, 2023
Last updated in NPPESDecember 11, 2023
Certification dateDecember 8, 2023

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