DR. GLENN MICHELSON M.D.
NPI 1679947949
Internal Medicine - Hematology & Oncology in Berkeley, CA

Q: What is Glenn Michelson's NPI number?

The NPI number for Glenn Michelson is 1679947949. It was assigned to this individual provider in the NPPES registry on November 23, 2015.

Q: What is Glenn Michelson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Glenn Michelson was last updated on August 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since November 23, 2015

91 BOLIVAR DR, BERKELEY, CA 94710(510) 647-4252(510) 548-8014 Get Directions Write a Review

NPPES record last updated: August 24, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2016, Nov 23, 2015 (2 updates tracked since 2015).

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About Dr. Glenn Michelson M.d. NPPES

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

DR. GLENN MICHELSON M.D. (NPI 1679947949) is an individual hematology & oncology provider in Berkeley, California, licensed in California (G85101) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1679947949

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameDR. GLENN MICHELSONCredential: M.D.

Location Address91 BOLIVAR DRBerkeley, CA 94710-2210

Mailing Address91 Bolivar DrBerkeley, CA 94710-2210 · (510) 647-4252 · Fax (510) 548-8014

Phone(510) 647-4252

Fax(510) 548-8014

Sole ProprietorYes

Enumeration DateNovember 23, 2015

Last NPPES UpdateAugust 24, 20162 updates tracked since enumeration

✔ NPI 1679947949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in CA · G85101

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

91 BOLIVAR DR, Berkeley, CA 94710

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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 Michelson's NPI number?

The NPI number for Glenn Michelson is 1679947949. It was assigned to this individual provider in the NPPES registry on November 23, 2015.

Where is Glenn Michelson located?

Glenn Michelson practices at 91 Bolivar Dr, Berkeley, CA 94710. The listed phone number is (510) 647-4252.

What is Glenn Michelson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Glenn Michelson was last updated on August 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.