Individual provider Active NPI

Glenda C Wrensford, M.D.

  • General Practice Physician
National Provider Identifier
1679663959
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD 13939 Issued in HI
Practice address
Usameddac Wuerzburg Unit 26610
Attn: Credentials Office
Apo, AE 09244
Phone
011499318043932
NPI assigned
Oct 15, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD 13939 HI Primary

Addresses

Primary practice location

Usameddac Wuerzburg Unit 26610
Attn: Credentials Office
Apo, AE 09244

Mailing address

Usameddac Wuerzburg Unit 26610
Attn: Credentials Office
Apo, AE 09244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140117000647 VI Practitioner - General Surgery 0042448128 Practice locations: St Thomas, VI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 13939HIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gilbert K. Comissiong, M.D. LLC Past Accepting new patients
Maj John D. King Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208649600000",
    "number": "1679663959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "USAMEDDAC WUERZBURG UNIT 26610",
            "address_2": "ATTN: CREDENTIALS OFFICE",
            "city": "APO",
            "state": "AE",
            "postal_code": "09244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "USAMEDDAC WUERZBURG UNIT 26610",
            "address_2": "ATTN: CREDENTIALS OFFICE",
            "city": "APO",
            "state": "AE",
            "postal_code": "09244",
            "telephone_number": "011499318043932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRENSFORD",
        "first_name": "GLENDA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-15",
        "last_updated": "2008-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "HI",
            "license": "MD 13939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.