Jacob Stewart Glen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2877 Issued in AL

Practice address

975 Airport Rd SW Ste H
Huntsville, AL 35802-1395

Phone

(256) 203-4275

NPI assigned

Oct 29, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rebelution Chiropractic LLC

  • Chiropractor
  • Huntsville, AL
  • NPI 1902495070
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1386466431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 BRETT RD NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358103304",
            "telephone_number": "804-516-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 AIRPORT RD SW STE H",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021395",
            "telephone_number": "256-203-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEN",
        "first_name": "JACOB",
        "middle_name": "STEWART",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gladden Counseling Services
• Glass Seating and Mobility
• Krystin Brianne Glass
• Morgan Glass, RN
• John Gleason Jr., MD
• Laura Elizabeth Glenn, LICSW, PIP
• Jessica Kate Glover
• Pamela Elise Glover, RD, LD, MS, CDE
• Erin Gluff
• Anya Gluszek

• Chiropractor in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.