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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GLEGEN MEDICAL PLLC
NPI 1093663023
Family Medicine in Grand Rapids, MI

Active since March 17, 2026
5165 NORTHLAND DR NE, GRAND RAPIDS, MI 49525(877) 340-1697 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2026, Sep 29, 2026, Mar 17, 2026 (3 updates tracked since 2026).

About Glegen Medical Pllc NPPES

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

GLEGEN MEDICAL PLLC (NPI 1093663023) is a healthcare organization registered as a family medicine in Grand Rapids, Michigan and active in the NPI registry since March 2026. The organization lists Gleb Gendel, Sole Mbr, as its authorized official.

NPPES Registry Identity

NPI1093663023
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGLEGEN MEDICAL PLLC
Location Address5165 NORTHLAND DR NEGrand Rapids, MI 49525-1015
Mailing Address5165 Northland Dr NeGrand Rapids, MI 49525-1015
Phone(877) 340-1697
Organization SubpartNo
Authorized OfficialGleb GendelSole Mbr · (877) 340-1697
Enumeration DateMarch 17, 2026
Last NPPES UpdateOctober 6, 20263 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1093663023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
5165 NORTHLAND DR NE, Grand Rapids, MI 49525
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Other Providers at the Same Location NPPES 3

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

VANESSA STEVENS FNP-BC
Nurse Practitioner
5165 NORTHLAND DR NE
GRAND RAPIDS, MI 49525
Kent County (843) 990-1965
LEGACY PRIMARY HEALTH LLC
Family Medicine
5165 NORTHLAND DR NE
GRAND RAPIDS, MI 49525
Kent County (843) 990-1965
DR. HANNAH CATHERINE STUCK
Nurse Practitioner (Primary Care)
5165 NORTHLAND DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 386-1840

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 Glegen Medical PLLC's NPI number?

The NPI number for Glegen Medical PLLC is 1093663023. It was assigned to this organization in the NPPES registry on March 17, 2026.

Where is Glegen Medical PLLC located?

Glegen Medical PLLC is located at 5165 Northland Dr NE, Grand Rapids, MI 49525. The listed phone number is (877) 340-1697.

What is Glegen Medical PLLC'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 Glegen Medical PLLC was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.