P Praxis·MD
● Active Type 1 · Individual

DR. Glen A. Pu, M.D.

Radiology·Brownwood, TX· NPI 1720069834 · Enumerated 2005 · 20 years on NPI
Pu is 1 of 9 radiology providers in Brownwood and 1 of 3776 in Texas.
NPI age
20 years
Enumerated 2005-11-07
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
GA, CO
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-03-25
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 3776 active radiology providers in Texas.

NPI age
20 years
≈ at median (19 yr)
State licenses
2 states
Top 81% — 18% of peers are multi-state
Subspecialties
0
36% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-11Enumerated in NPPES
2005 2026

Where they practice

Practice location
950 County Road 553
Brownwood, TX 768010345
📞 8033817497
Mailing address
950 County Road 553
Brownwood, TX 768010345
📞 8033817497

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
800 S 3rd St
Montrose, CO 814014212
📞 9702492211
Location 3
3330 S Rio Grande Ave
Montrose, CO 814014847
📞 9702407314

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    GA license #042921CO license #DR.0074111 taxonomy 2085R0202X

Identifiers

TypeValueNotes
01 (TX) 8BJ664 BCBS
05 (GA) 000728351Q
01 (GA) 52614708 012 BCBS
05 (CO) 9000236416
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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