Glenn M Madrid, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DR.0028519 Issued in CO

Practice address

3835 Horizon Glen CT
Grand Junction, CO 81506-5425

Phone

(970) 241-6011

NPI assigned

Nov 28, 2005

Last updated

Oct 6, 2025By the provider in NPPES

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 CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Intermountain Medical Group Grand Junction, LLC

  • Orthopaedic Surgery Physician
  • Grand Junction, CO
  • NPI 1356765556

  Family Medicine

  Medicare reassignment NPD
• St Mary's Hospital and Medical Center, Inc

  • Hematology & Oncology Physician
  • Grand Junction, CO
  • NPI 1275714081

  Family Medicine

  Medicare reassignment NPD
• Intermountain Medical Group Grand Junction, LLC

  dba SCL Health Medical Group - Patterson

  • Family Medicine Physician
  • Grand Junction, CO
  • NPI 1538708854
  NPD
• Intermountain Medical Group Grand Junction, LLC

  dba DME - Wellington Neurosurgery Clinic

  • Durable Medical Equipment & Medical Supplies
  • Grand Junction, CO
  • NPI 1609737618
  NPD
• St Mary's Hospital and Medical Center, Inc

  dba St Mary's Anticoagulation Clinic

  • General Acute Care Hospital
  • Grand Junction, CO
  • NPI 1619742806
  NPD
• St Mary's Hospital and Medical Center, Inc

  dba St Mary's Regional Hospital Hyperbaric Medical Services

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Grand Junction, CO
  • NPI 1699399238
  NPD

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1982687620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 HORIZON GLEN CT",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815065425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 HORIZON GLEN CT",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815065425",
            "telephone_number": "970-241-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRID",
        "first_name": "GLENN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0028519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodie Kim Mactavish
• Darilynn Sue Maddux, MEDICAL ASSISTANT
• Gilbert Isaac Madison, M.D.
• Mark Douglas Madison, D.D.S.
• Susan Madison, PT
• Kelsi Madrid
• Mark C. Madsen, MD
• Justine April Maedeker, NP
• Jennifer Rochelle Maestas, LPCC, MA
• Kymberly Maestas, LPC, CAS, NCC, CCTP,

• Family Medicine Physician in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.