IndividualActive
Glen Tate, MD
NPI 1720082555 · Family Medicine Physician · Laurel Fork, VA
Glen Tate, MD is a Family Medicine Physician provider in Laurel Fork, VA (NPI 1720082555).
Provider details
- NPI number
- 1720082555
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101034417 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14558 Danville Pike
Laurel Fork, VA 24352-3982
Phone: (276) 398-2292
Fax: (276) 398-3331
Street-level locationGet directions
Mailing address
Po Box 9
Laurel Fork, VA 24352-0009
Registry dates
- Enumerated
- 2005-06-09
- Last updated
- 2021-03-05
- Certified
- 2021-03-05
Frequently asked questions
- What is Glen Tate's NPI number?
- Glen Tate's National Provider Identifier (NPI) is 1720082555, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Glen Tate's specialty?
- Glen Tate is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Glen Tate located?
- Glen Tate's practice location on file with NPPES is 14558 Danville Pike, Laurel Fork, VA 24352-3982.
- What is Glen Tate's phone number?
- The practice phone number listed in the NPPES registry for Glen Tate is (276) 398-2292.
- Is Glen Tate's NPI active?
- Yes — Glen Tate's NPI (1720082555) is active in the NPPES registry as of the last update on 2021-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.