Glenn Richard Gourley, M.D.
Pediatric Gastroenterology Physician · Minneapolis, MN
Glenn Richard Gourley, M.D. is a pediatric gastroenterology physician with a practice address in Minneapolis, Minnesota, and NPI 1689606287, issued on Jul 6, 2006. Check the license (Minnesota 48367, as entered in NPPES) on the Minnesota Board of Medical Practice; the Medicare figures below come from public CMS files.
- Name
- Glenn Richard Gourley
- Credential
- M.D.
- Primary taxonomy
- Pediatric Gastroenterology Physician 2080P0206X
- License numbers
- 48367 MN
E-10741 AR
Self-reported in NPPES; status is on the state search - Practice location
- 3001 Broadway St NE Ste 500, Minneapolis, MN 55413
- Phone
- (612) 871-1145
- Enumerated
- Jul 6, 2006
- Record last updated
- Jun 5, 2019 (not updated in 7 years: call before relying on the address or phone)
- Fax
- (612) 870-5491
- Medicaid IDs
- 1511089 IA
220820200 MN - Entity
- Type 1 · individual
Also registered at 3001 Broadway St NE Ste 500
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Shelby AdamsonGastroenterology Registered Nurse1427991249
- Jennifer Burke, M.D., M.P.H.Anesthesiology Physician1447456744
- Stephanie Czech, CRNACertified Registered Nurse Anesthetist1063660173
- Betsy Ellingson, CRNACertified Registered Nurse Anesthetist1457479495
- Janelle Gorg Johnson, RNAmbulatory Care Registered Nurse1427906155
- Anna KoestlerRegistered Nurse1437086741
Verify Glenn Richard Gourley in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMinnesota Board of Medical Practice
Search for license 48367Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $14.16
1 payment: food and beverage; the largest payer was Genzyme Corporation. The 1,184 providers of this specialty with any payment received $2,585.05 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Pediatric Gastroenterology Physician providers in Minnesota
There are 34 pediatric gastroenterology physician records in Minnesota.
Other pediatric gastroenterology physician records in Minnesota
- Imad Absah, MDRochester, MN1245494152
- Maria Aguilera, MDRochester, MN1912570854
- Khalid Al-Kharraz, MBBSRochester, MN1598434854
- Sundeep Arora, M.D.Saint Paul, MN1770649626
- Ramalingam Arumugam, MDSaint Paul, MN1265404057
- Ashlesha Bagwe, M.D.Minneapolis, MN1871117549
- Mark Bartlett, M.D.Rochester, MN1134162118
- Kristin Borovsky, M.D.Minneapolis, MN1144761578
- Vikram Christian, MDMinneapolis, MN1821430927
- Elissa Downs, MD MPHMinneapolis, MN1104116722
Common questions
What is Glenn Richard Gourley, M.D.'s NPI number?
Glenn Richard Gourley, M.D.'s National Provider Identifier (NPI) is 1689606287, issued on Jul 6, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Glenn Richard Gourley, M.D. located?
The NPPES record lists a practice address at 3001 Broadway St NE Ste 500, Minneapolis, MN, 55413. Phone: (612) 871-1145. Providers update this record themselves, so call before visiting.
How can I verify Glenn Richard Gourley, M.D.'s license?
NPPES lists Minnesota license number 48367, as entered by the provider. Search the Minnesota Board of Medical Practice at https://mn.gov/boards/medical-practice/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.