Glenn Etzel, M.D

NPI: 1083727408

Glenn Etzel, M.D

Q: What is Glenn Etzel's NPI number?

Glenn Etzel's NPI number is 1083727408, a unique 10-digit identifier issued by CMS.

Q: What does Glenn Etzel specialize in?

Glenn Etzel specializes in Family Medicine, taxonomy code 207Q00000X.

Q: Where does Glenn Etzel practice?

Glenn Etzel practices in Price, UT 84501-4221.

Q: When was Glenn Etzel's NPI issued?

Glenn Etzel's NPI was issued on August 17, 2006.

Q: What is Glenn Etzel's provider type?

Glenn Etzel is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderFamily Medicine

NPI issued: August 17, 2006

Quick Facts

NPI Number

1083727408

TypeIndividual

StatusActive

SpecialtyFamily Medicine

Taxonomy207Q00000X — Family Medicine

Phone

(435) 637-9545

StateUT

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1083727408)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (August 17, 2006)

Data source: CMS NPPES

Provider Overview

GLENN ETZEL, M.D is a Family Medicine provider based in Price, UT who has been registered with CMS since 2006. They are affiliated with Revere Health Pc. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1083727408

Provider TypeIndividual Provider

GenderMale

CredentialM.D

StatusActive

Enumeration DateAugust 17, 2006

Practice Location

CityPrice

StateUT

ZIP Code84501-4221

Phone(435) 637-9545

Specialties & Licenses

★ Primary

SpecialtyFamily Medicine

Taxonomy Code207Q00000X

License StateUT

Mailing Address

CityPrice

StateUT

ZIP Code84501-4221

Phone(435) 637-9545

Same as practice location

Hospital & Organization Affiliations

🏢

Revere Health Pc

📍 Price, UT

Hospital NPIY→

How to Use This NPI

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For Insurance Billing

Use NPI 1083727408 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1083727408for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1083727408 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

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