Tristan David Glenn, DO
Sports Medicine (Neuromusculoskeletal Medicine) Physician · Fairbanks, AK
Tristan David Glenn, DO is a sports medicine (neuromusculoskeletal medicine) physician with a practice address in Fairbanks, Alaska, and NPI 1437882099, issued on Jul 1, 2022. Check the license (Alaska 234573, as entered in NPPES) with the Alaska board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Tristan David Glenn
- Credential
- DO
- Primary taxonomy
- Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X
- License number
- 234573 AK
Self-reported in NPPES; status is on the state search - Practice location
- 1919 Lathrop St, Fairbanks, AK 99701
- Phone
- (907) 459-2619
- Enumerated
- Jul 1, 2022
- Record last updated
- Jul 29, 2025
- Fax
- (907) 374-1089
- Medicaid ID
- 1755983 AK
- Medicare enrollment
- Enrolled (PECOS I20250710000729); accepts Medicare assignment
- Medical or professional school
- University Of New England, College Of Osteo Medicine, 2021
- Entity
- Type 1 · individual
Also registered at 1919 Lathrop St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Sierra Alexander, PTPhysical Therapist1588970156
- Kristen Barton, LPCProfessional Counselor1598725095
- Gloria Bourque, ANPNurse Practitioner1750341053
- David Boyd, ATCAthletic Trainer1124405618
- Gerald Brown, PHARMACISTPharmacist1740313436
- Michael Bryan, LPTPhysical Therapist1831271758
Verify Tristan David Glenn in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Alaska board licenses this profession
Search for license 234573Check 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: $151.73
3 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 70 providers of this specialty with any payment received $1,066.99 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.
Bills Medicare through one group practice
- Tanana Valley Clinic LLCFairbanks, AK
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sports Medicine (Neuromusculoskeletal Medicine) Physician providers in Alaska
There are 2 sports medicine (neuromusculoskeletal medicine) physician records in Alaska.
Other sports medicine (neuromusculoskeletal medicine) physician records in Alaska
- Bret Mason, D.O.Anchorage, AK1750304184
Common questions
What is Tristan David Glenn, DO's NPI number?
Tristan David Glenn, DO's National Provider Identifier (NPI) is 1437882099, issued on Jul 1, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Tristan David Glenn, DO located?
The NPPES record lists a practice address at 1919 Lathrop St, Fairbanks, AK, 99701. Phone: (907) 459-2619. Providers update this record themselves, so call before visiting.
How can I verify Tristan David Glenn, DO's license?
NPPES lists Alaska license number 234573, as entered by the provider. Search the Alaska board that licenses this profession; the NPPES record confirms identity only.
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.