Provider Demographics
NPI:1083509566
Name:GLASPER, BRIANNE D
Entity type:Individual
Prefix:
First Name:BRIANNE
Middle Name:D
Last Name:GLASPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4218 BENT GREEN LN
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28112-7792
Mailing Address - Country:US
Mailing Address - Phone:317-828-8376
Mailing Address - Fax:
Practice Address - Street 1:1915 HASTY RD
Practice Address - Street 2:
Practice Address - City:MARSHVILLE
Practice Address - State:NC
Practice Address - Zip Code:28103-0029
Practice Address - Country:US
Practice Address - Phone:704-624-4620
Practice Address - Fax:704-624-0441
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2917352084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry