DR. GLENN R. WILLETT M.D.
NPI 1063432912
Family Medicine in Mebane, NC

Active since July 20, 2006
101 MEDICAL PARK DR, MEBANE, NC 27302(919) 563-2500(919) 563-3535 Get Directions Write a Review

NPPES record last updated: June 28, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Glenn R. Willett M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GLENN R. WILLETT M.D. (NPI 1063432912) is an individual family medicine provider in Mebane, North Carolina, licensed in North Carolina (95-00476) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1063432912
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GLENN R. WILLETTCredential: M.D.
Location Address101 MEDICAL PARK DRMebane, NC 27302-7639
Mailing AddressPo Box 1717Burlington, NC 27216-1717 · (336) 538-1234 · Fax (336) 538-2390
Fax(919) 563-3535
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateJune 28, 2013
NPI 1063432912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 95-00476
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
101 MEDICAL PARK DR, Mebane, NC 27302

Other Identifiers 3

Medicaid8987638NC
Medicare ID-Type Unspecified2210900NC
Medicare UPING05457NC

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
101 MEDICAL PARK DR
MEBANE, NC 27302
Ophthalmology
101 MEDICAL PARK DR
MEBANE, NC 27302
Nurse Practitioner (Gerontology)
101 MEDICAL PARK DR
MEBANE, NC 27302
Family Medicine
101 MEDICAL PARK DR
MEBANE, NC 27302
Orthopaedic Surgery
101 MEDICAL PARK DR
MEBANE, NC 27302
Nurse Practitioner
101 MEDICAL PARK DR
MEBANE, NC 27302

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Willett's NPI number?

The NPI number for Glenn Willett is 1063432912. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Glenn Willett located?

Glenn Willett practices at 101 Medical Park Dr, Mebane, NC 27302. The listed phone number is (919) 563-2500.

What is Glenn Willett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Glenn Willett was last updated on June 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.