Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Glenn Banegura, M.D.

Internal Medicine Physician in Snellville, GA · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770744989

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Dr. Glenn Banegura

Credential M.D.

Sex Male

Practice address Snellville, GA, 30078

Phone (617) 901-6120

Enumeration date Jun 19, 2008

Last updated in NPPES Dec 9, 2025

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 16816 (HI) Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 1796320 (WI) Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 036147581 (IL) Secondary

208M00000X Hospitalist Physician Allopathic & Osteopathic Physicians · License 129782 (MT) Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 34002 (SC) Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 35C.000288 (OH) Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 25734 (MS) Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 23114 (NV) Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 35270 (NH) Primary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 67897 (TN) Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 31509 (AL) Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 66752 (GA) Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 334379 (LA) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
340027	Medicaid	SC	-
SCB3979068	Other	SC	MEDICARE PIN
SCB3975019	Other	SC	MEDICARE PIN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Glenn Banegura?

Glenn Banegura is registered in NPPES with the primary taxonomy of Internal Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-09.