Individual ProviderGlenn DruckenbrodEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307(703) 776-3111(703) 205-9790PECOS EnrollmentBased on the most recent information from CMS, provider Glenn Druckenbrod is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1326080383Provider TypeIndividualFull NameDruckenbrod, GlennCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/12/2006Last Updated7/17/2007Contact InformationPractice LocationPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307Phone(703) 776-3111Fax(904) 346-0113Mailing LocationMailing AddressPO Box 75567, Baltimore, MD 21275-5567Phone(703) 205-9790Fax(904) 346-0113Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense0101044473VirginiaProvider IdentifiersIDDescriptionIssuerID6037712DescriptionMedicaidIssuerUnlistedVirginia