Registry record
- NPI
- 1801910609
- Profession
- Physician Assistant (PA)
- Specialty
- Medical Physician Assistant (363AM0700X)
- Practice address
- 102 West Main Street
Centerville, TX 75833 - Phone
- 9035362313
- In the registry since
- March 19, 2007
- Last NPPES update
- July 8, 2007
- Sole proprietor
- No
- License
- PA00952 (TX)
At this location
This location lists no other NP or PA providers in our current data.
In context
The NPI number of Glen Pettenger is 1801910609. They are a Medical Physician Assistant in Centerville, Texas.
Glen Pettenger is the only Medical Physician Assistant in Centerville in our data, and one of 2,844 across Texas.
The NPI has been in the federal registry for 19 years, since March 19, 2007.
Frequently asked questions
What is NPI 1801910609?
NPI 1801910609 is the 10-digit National Provider Identifier assigned to Glen Pettenger, a Medical Physician Assistant practicing in Centerville, Texas. The record has been in the NPPES registry since March 19, 2007.
How do I verify this provider?
Cross-check NPI 1801910609 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license PA00952 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as July 8, 2007. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.