GLENN FAMILY MEDICINE, LLC
NPI 1508443805
Family Medicine in Wailuku, HI

Q: What is Glenn Family Medicine, LLC's NPI number?

The NPI number for Glenn Family Medicine, LLC is 1508443805. It was assigned to this organization in the NPPES registry on March 24, 2021.

Q: What is Glenn Family Medicine, LLC's specialty?

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

Active since March 24, 2021

85 MAUI LANI PKWY, WAILUKU, HI 96793(330) 904-9354 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2022, Sep 7, 2021, Mar 24, 2021 (3 updates tracked since 2021).

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About Glenn Family Medicine, Llc NPPES

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

GLENN FAMILY MEDICINE, LLC (NPI 1508443805) is a healthcare organization registered as a family medicine in Wailuku, Hawaii and active in the NPI registry since March 2021. The organization lists Travis Wagner Glenn, Member, as its authorized official.

NPPES Registry Identity

NPI1508443805

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameGLENN FAMILY MEDICINE, LLC

Location Address85 MAUI LANI PKWYWailuku, HI 96793-2416

Mailing Address85 Maui Lani PkwyWailuku, HI 96793-2416 · (808) 244-5366

Phone(330) 904-9354

Organization SubpartNo

Authorized OfficialTravis Wagner GlennMember · (808) 244-5366

Enumeration DateMarch 24, 2021

Last NPPES UpdateDecember 9, 20223 updates tracked since enumeration

NPPES CertifiedDecember 9, 2022

✔ NPI 1508443805 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.

85 MAUI LANI PKWY, Wailuku, HI 96793

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Other Providers at the Same Location NPPES 20

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

DR. BRADLEY HOLMAN GLENN MD

Family Medicine