Glen Tate, MD

ActiveIndividual ProviderFamily Medicine
NPI issued: June 9, 2005

Quick Facts

NPI Number
1720082555
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(276) 398-2292
StateVA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1720082555)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (June 9, 2005)
Data source: CMS NPPES

Provider Overview

GLEN TATE, MD is a Family Medicine provider based in Laurel Fork, VA who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1720082555
Provider TypeIndividual Provider
GenderMale
CredentialMD
StatusActive
Enumeration DateJune 9, 2005

Practice Location

CityLaurel Fork
StateVA
ZIP Code24352-3982
Phone(276) 398-2292

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateVA

Mailing Address

CityLaurel Fork
StateVA
ZIP Code24352-3982
Phone(276) 398-2292
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1720082555 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 1720082555for 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 1720082555 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.

Browse all Family Medicineproviders →
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199,317
Family Medicine Providers in the US

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People Also Ask

What is Glen Tate's NPI number?
Glen Tate's NPI number is 1720082555, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Glen Tate's NPI currently active?
Yes, Glen Tate's NPI status is Active as of the latest CMS NPPES database updates.
What does Glen Tate specialize in?
Glen Tate specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does Glen Tate practice?
Glen Tate practices in Laurel Fork, VA 24352-3982.
When was Glen Tate's NPI issued?
Glen Tate's NPI was issued on June 9, 2005.
What is Glen Tate's provider type?
Glen Tate is registered as an Individual Provider under CMS NPI Type 1.