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

Glen S. Ni, MD

Individual provider Anesthesiology Physician · NPI 1043206048

Glen S. Ni, MD is an Anesthesiology in Stoughton, Massachusetts. Graduated from University of Michigan Medical School in 2002, 24 years ago. Practices with Bmc Affiliated Physicians, Inc, a 545-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and New York.

Years since qualifying
24
Trained at
University of Michigan Medical School
Licensed in
MA, NY
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

907 Sumner St Guardian Anesthesia Inc
Stoughton, MA 02072
Phone: (781) 344-2325
Fax: (781) 341-8544
Show map & directions

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

Additional practice locations (1)

  • 235 N Pearl St, Brockton, MA 02301-1794 — (508) 427-3000

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 228264 (MA)
Anesthesiology Physician Taxonomy 207L00000X · Licence 230098 (NY)

Record details

NPI number1043206048
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 25, 2005
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2002 (24 years in practice)
Group practice Bmc Affiliated Physicians, Inc. — 545 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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