Active NPI
Glenn Ray Delp, M.D.
- Surgery Physician
- Selma, AL
National Provider Identifier
1861497042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 00009853
- Practice address
- 200 Vaughan Memorial Dr
Selma, AL 36701-6508 - Phone
- (334) 875-4220
- Fax
- (334) 875-5866
- NPI assigned
- Jun 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 00009853 | AL | Primary |
Addresses
Primary practice location
200 Vaughan Memorial Dr
Selma, AL 36701-6508
Mailing address
200 Vaughan Memorial Dr
Selma, AL 36701-6508
Phone (334) 875-4220
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00009853 | AL | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789862400000",
"number": "1861497042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 VAUGHAN MEMORIAL DR",
"city": "SELMA",
"state": "AL",
"postal_code": "367016508",
"telephone_number": "334-875-4220",
"fax_number": "334-875-5866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 VAUGHAN MEMORIAL DR",
"city": "SELMA",
"state": "AL",
"postal_code": "367016508",
"telephone_number": "334-875-4220",
"fax_number": "334-875-5866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELP",
"first_name": "GLENN",
"middle_name": "RAY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2026-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AL",
"license": "00009853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Selma, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.