GLENN ALLEN GEHRKE MD NPI 1073696977

NPI Information

  • NPI: 1073696977
  • Provider Name: GLENN ALLEN GEHRKE, MD
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8001 CENTERVIEW PKWY STE 215
    CORDOVA, TN
    ZIP 38018
  • Phone: (901) 249-5905

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NPI Details

Glenn Allen Gehrke, MD is an interventional pain medicine pain medicine in Cordova, TN with 28 years of experience. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. Glenn Allen Gehrke, MD NPI is 1073696977. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1998

The provider's business location address is:

8001 CENTERVIEW PKWY STE 215
CORDOVA, TN
ZIP 38018-276
Phone: (901) 249-5905
Fax: (901) 249-5940

The NPI 1073696977 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 4/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiology4301080570MICHIGANNo
2207LP2900XAnesthesiologyPain Medicine4301080570MICHIGANNo
3208VP0000XPain MedicinePain Medicine53805TENNESSEENo
4208VP0000XPain MedicinePain Medicine24839MISSISSIPPINo
5208VP0014XPain MedicineInterventional Pain Medicine53805TENNESSEEYes
6208VP0014XPain MedicineInterventional Pain Medicine24839MISSISSIPPINo
7208VP0014XPain MedicineInterventional Pain Medicine4301080570MICHIGANNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P01704491OTHERRAILROAD MEDICARE
26066289OTHERTENNESSEEBLUE CROSS BLUE SHIELD
3Q022062MEDICAIDTENNESSEE
407274365MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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