Glenn Wilson, IDMT
NPI 1720401789 · Independent Duty Medical Technicians · Holloman Afb, NM
Glenn Wilson, IDMT is a Independent Duty Medical Technicians provider in Holloman Afb, NM (NPI 1720401789).
Provider details
- NPI number
- 1720401789
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
83% 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
Mailing address
Registry dates
- Enumerated
- 2014-01-28
- Last updated
- 2024-03-29
- Certified
- 2024-03-29
Frequently asked questions
- What is Glenn Wilson's NPI number?
- Glenn Wilson's National Provider Identifier (NPI) is 1720401789, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Glenn Wilson's specialty?
- Glenn Wilson is listed in the NPPES registry with a primary specialty of Independent Duty Medical Technicians (Other Service Providers).
- Where is Glenn Wilson located?
- Glenn Wilson's practice location on file with NPPES is 280 David L Goldfein St Bldg 23, Holloman Afb, NM 88330-8273.
- What is Glenn Wilson's phone number?
- The practice phone number listed in the NPPES registry for Glenn Wilson is (707) 424-5107.
- Is Glenn Wilson's NPI active?
- Yes — Glenn Wilson's NPI (1720401789) is active in the NPPES registry as of the last update on 2024-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.