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Glen P Wilson, M.D.

Diagnostic Radiology Physician in Albuquerque, NM · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1285638999

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Registry record

Entity type Individual (Type 1)
Name Glen P Wilson
Credential M.D.
Sex Male
Practice address 4901 Lang Ave Ne, Albuquerque, NM, 87109
Phone (505) 842-8171
Fax (505) 857-3877
Enumeration date Jun 9, 2005
Last updated in NPPES Oct 30, 2024

Taxonomy & licenses

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 2000-314 (NM) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
L0634 Medicaid NM -
600521002 Other NM MEDICARE IDTF
700521102 Other NM MEDICARE GROUP
2258272 Other NM MEDICARE GROUP
45138 Medicaid NM -
52713 Medicaid NM -
66463 Medicaid NM -
800521126 Other NM MEDICARE IDTF

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Glen Wilson practice?
The practice location on file with NPPES is in Albuquerque, NM. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Glen Wilson?
The National Provider Identifier (NPI) for Glen Wilson is 1285638999, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-10-30.