Active NPI
Bang Tu Nguyen, MD
- General Practice Physician
- Glenwood, IA
National Provider Identifier
1528028545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- I4949
- Practice address
- 711 South Vine Street
Glenwood, IA 51534-1927 - Phone
- (712) 527-4811
- Fax
- (712) 527-2270
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | I4949 | IA | Primary |
Addresses
Primary practice location
711 South Vine Street
Glenwood, IA 51534-1927
Mailing address
711 South Vine Street
Glenwood, IA 51534-1927
Phone (712) 527-4811
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 |
|---|---|---|---|
| I4949 | IA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1528028545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 SOUTH VINE STREET",
"city": "GLENWOOD",
"state": "IA",
"postal_code": "515341927",
"telephone_number": "712-527-4811",
"fax_number": "712-527-2270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 SOUTH VINE STREET",
"city": "GLENWOOD",
"state": "IA",
"postal_code": "515341927",
"telephone_number": "712-527-4811",
"fax_number": "712-527-2270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "BANG",
"middle_name": "TU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IA",
"license": "I4949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenwood, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.