IndividualActive
Glenn Irwin, MD
NPI 1093793598 · Adult Medicine Physician · Bradford, PA
Provider details
- NPI number
- 1093793598
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD028763E (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
900 Chestnut Street Ext Ste a
Bradford, PA 16701
Phone: (814) 817-2870
Fax: (814) 368-8041
Approximate (ZIP-level) locationGet directions
Mailing address
900 Chestnut Street Ext Ste a
Bradford, PA 16701-2298
Additional practice locations (1)
- 821 N Nellis BlvdLas Vegas, NV 89110-5339Phone: (702) 438-4003Fax: (702) 438-0555
Registry dates
- Enumerated
- 2006-01-04
- Last updated
- 2019-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.