PGP FAMILY PHYSICIANS LLC NPI 1144201971

NPI Information

  • NPI: 1144201971
  • Provider Name: PGP FAMILY PHYSICIANS, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 8607 TEMPLE DR
    FORT WAYNE, IN
    ZIP 46809
  • Phone: (260) 478-9220

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NPI Details

PGP FAMILY PHYSICIANS, LLC is a family medicine in Fort Wayne, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PGP FAMILY PHYSICIANS, LLC NPI is 1144201971. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8607 TEMPLE DR
FORT WAYNE, IN
ZIP 46809-048
Phone: (260) 478-9220
Fax: (260) 478-9172

The provider's authorized official is Glenn Alan Glogas .
The authorized official title is President and has the following contact phone number (206) 478-9220.

The enumeration date for this NPI number is 11/9/2005 and was last updated on 8/22/2020.

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
1207Q00000XFamily MedicineYes

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

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