1. Home
  2. Directory
  3. New York
  4. Malone
  5. General Practice
  6. NPI Profile

GLENN CHAMPAGNE M.D.
NPI 1487869087
General Practice in Malone, NY

Active since May 14, 2007
BARE HILL ROAD, FRANKLIN CORRECTIONAL FACILITY, MALONE, NY 12953(518) 483-6040 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glenn Champagne M.d. NPPES

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

GLENN CHAMPAGNE M.D. (NPI 1487869087) is an individual general practice provider in Malone, New York, licensed in New York (127279-1) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1487869087
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameGLENN CHAMPAGNECredential: M.D.
Location AddressBARE HILL ROAD, FRANKLIN CORRECTIONAL FACILITYMalone, NY 12953
Mailing Address130 Moody RdMalone, NY 12953-3819 · (518) 483-1120
Phone(518) 483-6040
Sole ProprietorYes
Enumeration DateMay 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1487869087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 127279-1
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
BARE HILL ROAD, Malone, NY 12953
Open in Google Maps ↗

Other Identifiers 1

Medicaid00632522NY

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 Champagne's NPI number?

The NPI number for Glenn Champagne is 1487869087. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Glenn Champagne located?

Glenn Champagne practices at Bare Hill Road Franklin Correctional Facility, Malone, NY 12953. The listed phone number is (518) 483-6040.

What is Glenn Champagne's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Glenn Champagne was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.