Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Glen Ross Pettenger, PA-C

Medical Physician Assistant in Centerville, TX · enumerated 2007.

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

National Provider Identifier

1801910609

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Registry record

Entity type Individual (Type 1)

Name Mr. Glen Ross Pettenger

Credential PA-C

Sex Male

Practice address 102 West Main Street, Centerville, TX, 75833

Phone (903) 536-2313

Fax (903) 536-2207

Enumeration date Mar 19, 2007

Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA00952 (TX) Primary

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Glen Pettenger practice?

The practice location on file with NPPES is in Centerville, TX. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Glen Pettenger?

The National Provider Identifier (NPI) for Glen Pettenger is 1801910609, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.