Active NPI
Glenn A Dowling, MD
- Public Health & General Preventive Medicine Physician
- Usaf Academy, CO
National Provider Identifier
1508842402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 0101235540
- Practice address
- 4102 Pinion Dr
10MDG
Usaf Academy, CO 80840-2502 - Phone
- (301) 351-1561
- NPI assigned
- Dec 21, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101235540 | VA | MD | General Practice Physician |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 0101235540 | VA | Primary |
| General Practice Physician | 208D00000X | 0101235540 | VA |
Addresses
NPPES NPI RegistryPrimary practice location
4102 Pinion Dr
10MDG
Usaf Academy, CO 80840-2502
Mailing address
4102 Pinion Dr
10MDG
Usaf Academy, CO 80840-2502
Phone (301) 351-1561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 24, 2014.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408838400000",
"number": "1508842402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4102 PINION DR",
"address_2": "10MDG",
"city": "USAF ACADEMY",
"state": "CO",
"postal_code": "808402502",
"telephone_number": "301-351-1561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4102 PINION DR",
"address_2": "10MDG",
"city": "USAF ACADEMY",
"state": "CO",
"postal_code": "808402502",
"telephone_number": "301-351-1561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWLING",
"first_name": "GLENN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2014-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "VA",
"license": "0101235540",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101235540",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Usaf Academy, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.