LLOYD GLENWOOD III WILBERT (MD) – Diagnostic Radiology Physician, NPI 1053310359

LLOYD GLENWOOD III WILBERT (MD) is a healthcare provider. based in Hurst, Texas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. K1320 (TX). The NPI Number for LLOYD GLENWOOD III WILBERT (MD) is 1053310359

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
LLOYD GLENWOOD III WILBERT (MD)
NPI
1053310359
Phone
(817) 336-4638
Address
1845 PRECINCT LINE RD STE 209
Enumeration Date
19 July 2005
Last Update Date
13 July 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
9728995901
Graduation Year
1995 (31 years ago)
PAC ID
9638159486
Group Practice PAC ID
1153591763
Professional Enrollment ID
I20040803000979
Address ID
TX750282709FL4951XRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,303 DIAGNOSTIC RADIOLOGY in TX

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Provider Addresses for LLOYD GLENWOOD III WILBERT (MD)

  • 209, Precinct Line Road, Hurst, Tarrant County, Texas, 76053, United States

    HURST, TX 760543109

    Phone: (817) 336-4638

    Fax: (817) 336-1331

    Mailing address matches the actual address.

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040803000979IDiagnostic RadiologyTXTBD
I20190719000007IDiagnostic RadiologyPATBD
I20210811004066IDiagnostic RadiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76054)

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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: 1153591763View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Diagnostic RadiologyOK
Nuclear Medicine, Diagnostic Radiology, Diagnostic RadiologyOK
Diagnostic RadiologyTX
Diagnostic RadiologyCA
Diagnostic RadiologyTX
Diagnostic RadiologyOR
Diagnostic RadiologyHI
Interventional Radiology, Diagnostic Radiology, Diagnostic RadiologyTX
Diagnostic RadiologyTX

Reviews

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Frequently asked questions

What unique ID ties claims to LLOYD GLENWOOD III WILBERT (MD)?
NPI 1053310359 is assigned to LLOYD GLENWOOD III WILBERT (MD) under the national enumeration system.
Is LLOYD GLENWOOD III WILBERT (MD)'s NPI currently valid?
The extract we use shows LLOYD GLENWOOD III WILBERT (MD) as active.
Does LLOYD GLENWOOD III WILBERT (MD) list a primary specialty?
If you are matching referrals, note Diagnostic Radiology Physician for LLOYD GLENWOOD III WILBERT (MD). Clinical services aligned with this taxonomy classification.
What location shows for LLOYD GLENWOOD III WILBERT (MD)?
We surface Hurst, Texas for LLOYD GLENWOOD III WILBERT (MD) based on available NPPES addresses.
How can I contact LLOYD GLENWOOD III WILBERT (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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