GLENN PETERS
NPI 1568494144
Otolaryngology - Plastic Surgery within the Head & Neck in Birmingham, AL

Active since July 06, 2006PECOS Enrolled
1717 6TH AVE S, BIRMINGHAM, AL 35233(800) 822-8816 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glenn Peters NPPES

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

GLENN PETERS (NPI 1568494144) is an individual plastic surgery within the head & neck provider in Birmingham, Alabama, licensed in Alabama (9970) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568494144
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameGLENN PETERS
Location Address1717 6TH AVE SBirmingham, AL 35233-1801
Mailing Address1717 6th Ave SBirmingham, AL 35233-1801
Sole ProprietorNo
Enumeration DateJuly 6, 2006
Last NPPES UpdateJune 29, 2023
NPI 1568494144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License Licensed in AL · 9970
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
1717 6TH AVE S, Birmingham, AL 35233

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Glenn Peters is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Surgery
1717 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Acute Care)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Radiology (Diagnostic Radiology)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Family)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Radiology (Diagnostic Radiology)
1717 6TH AVE S
BIRMINGHAM, AL 35233
Anesthesiology
1717 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Adult Health)
1717 6TH AVE S, SPAIN REHAB CENTER RM 156
BIRMINGHAM, AL 35233
Nurse Practitioner (Acute Care)
1717 6TH AVE S
BIRMINGHAM, AL 35233

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 Peters's NPI number?

The NPI number for Glenn Peters is 1568494144. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Glenn Peters located?

Glenn Peters practices at 1717 6th Ave S, Birmingham, AL 35233. The listed phone number is (800) 822-8816.

What is Glenn Peters's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Glenn Peters enrolled in Medicare?

Yes. Glenn Peters is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glenn Peters was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.