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JACOB STEWART GLEN DC
NPI 1386466431
Chiropractor in Huntsville, AL

Active since October 29, 2024
975 AIRPORT RD SW STE H, HUNTSVILLE, AL 35802(256) 203-4275 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Stewart Glen Dc NPPES

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

JACOB STEWART GLEN DC (NPI 1386466431) is an individual chiropractor in Huntsville, Alabama, licensed in Alabama (2877) and active in the NPI registry since October 2024. He is a graduate of Life Chiropractic College (2024).

NPPES Registry Identity

NPI1386466431
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJACOB STEWART GLENCredential: DC
Location Address975 AIRPORT RD SW STE HHuntsville, AL 35802-1395
Mailing Address2701 Brett Rd NwHuntsville, AL 35810-3304 · (804) 516-2450
Phone(256) 203-4275
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2024
Enumeration DateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
✔ NPI 1386466431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AL · 2877
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
975 AIRPORT RD SW STE H, Huntsville, AL 35802
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Stewart Glen Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729578984
PECOS Enrollment IDI20251106000474

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.

MOLLIE ROOD DC
Chiropractor
975 AIRPORT RD SW STE H
HUNTSVILLE, AL 35802
Madison County (256) 203-4275
JOSHUA ROOD DC
Chiropractor
975 AIRPORT RD SW STE H
HUNTSVILLE, AL 35802
Madison County (256) 203-4275
ALEXA M. SMITH DC
Chiropractor
975 AIRPORT RD SW STE H
HUNTSVILLE, AL 35802
Madison County (256) 203-4275

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 Jacob Glen's NPI number?

The NPI number for Jacob Glen is 1386466431. It was assigned to this individual provider in the NPPES registry on October 29, 2024.

Where is Jacob Glen located?

Jacob Glen practices at 975 Airport Rd SW Ste H, Huntsville, AL 35802. The listed phone number is (256) 203-4275.

What is Jacob Glen's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jacob Glen enrolled in Medicare?

Yes. Jacob Glen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Glen was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.