GLEN ENZENBERGER (DO) – Family Medicine Physician, NPI 1639167471

GLEN ENZENBERGER (DO) is a healthcare provider. based in Tawas city, Michigan. specializing in Family Medicine Physician. They hold the professional credentials DO. They hold a License No. 5101010568 (MI). The NPI Number for GLEN ENZENBERGER (DO) is 1639167471

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
GLEN ENZENBERGER (DO)
NPI
1639167471
Phone
(989) 362-9411
Address
PO BOX 779
Enumeration Date
6 October 2005
Last Update Date
6 April 2021

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9893624626
Graduation Year
1989 (37 years ago)
PAC ID
9335275569
Group Practice PAC ID
9638070766
Professional Enrollment ID
I20100326000994

Contacts

Secure Messaging
glenenzenberger@smomsjhs.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for GLEN ENZENBERGER (DO)

  • PO BOX 779

    TAWAS CITY, MI 487640779

    Phone: (989) 362-9411

    Fax: (989) 362-9925

    Type: Mailing

  • 700 GERMAN ST

    TAWAS CITY, MI 487639349

    Phone: (989) 362-4170

    Fax: (989) 362-0034

    Type: Mailing

  • 700, German Street, Tawas City, Iosco County, Michigan, 48763, United States

    TAWAS CITY, MI 487639349

    Phone: (989) 362-4170

    Fax: (989) 362-0034

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1818$0
81003Automated urinalysis test1312$0
View full utilization report →

Insurance plans in this area (ZIP 48764)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638070766View full group profile
NameSpecialtyState
-MI
O T O L A R Y N G O L O G YMI
Internal MedicineMI
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerMI
Medical OncologyIA
Physician AssistantMI
General SurgeryAZ
-MI

Reviews

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Frequently asked questions

What is the registry number for GLEN ENZENBERGER (DO)?
The registry entry for GLEN ENZENBERGER (DO) shows NPI 1639167471.
Is GLEN ENZENBERGER (DO)'s NPI status active today?
Active status means GLEN ENZENBERGER (DO)'s NPI record is not deactivated in the public file.
What type of care does GLEN ENZENBERGER (DO) provide?
GLEN ENZENBERGER (DO)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit GLEN ENZENBERGER (DO) in Tawas City, Michigan?
For routing, start with Tawas City, Michigan for GLEN ENZENBERGER (DO), then verify phone and hours locally.
Why is information missing for GLEN ENZENBERGER (DO)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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