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MR. DAVID ALEXANDER GLENN JR. IDC
NPI 1306103551
Military Health Care Provider - Independent Duty Corpsman in Gulfport, MS

Active since April 12, 2012
5501 MARVIN SHIELDS BLVD, GULFPORT, MS 39501(228) 822-5061 Get Directions Write a Review

NPPES record last updated: April 12, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. David Alexander Glenn Jr. Idc NPPES

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

MR. DAVID ALEXANDER GLENN JR. IDC (NPI 1306103551) is an individual independent duty corpsman provider in Gulfport, Mississippi and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1306103551
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. DAVID ALEXANDER GLENN JR.Credential: IDC
Location Address5501 MARVIN SHIELDS BLVDGulfport, MS 39501-9007
Mailing Address5501 Marvin Shields BlvdGulfport, MS 39501-9007 · (228) 822-5061
Phone(228) 822-5061
Sole ProprietorNo
Enumeration DateApril 12, 2012
✔ NPI 1306103551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
5501 MARVIN SHIELDS BLVD, Gulfport, MS 39501
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Other Providers at the Same Location NPPES 15

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

MR. DAVID RAY BRANCH IDC
Specialist/Technologist, Other
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 871-2810
JESSE LEE PALACIOS II
Military Health Care Provider (Independent Duty Corpsman)
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 871-2810
DAVID CHARLES HALBERG
Military Health Care Provider (Independent Duty Corpsman)
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 871-2810
DR. STEPHEN L MIKELL MD
Pediatrics
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 871-4033
COLTON ANTHONY WEGRZYN IDC
Military Health Care Provider (Independent Duty Corpsman)
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 822-5919
MR. CHARLES EDWARD GIVENS JR. IDC
Military Health Care Provider (Independent Duty Corpsman)
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 871-2810
MS. JULIE BISHOP LCSW
Social Worker (Clinical)
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 822-5067
MRS. TIFFANY JO ARCHER PA-C
Physician Assistant
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 871-4033

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 David Glenn's NPI number?

The NPI number for David Glenn is 1306103551. It was assigned to this individual provider in the NPPES registry on April 12, 2012.

Where is David Glenn located?

David Glenn practices at 5501 Marvin Shields Blvd, Gulfport, MS 39501. The listed phone number is (228) 822-5061.

What is David Glenn's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for David Glenn was last updated on April 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.