Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Glade, MD

Individual provider Dermatology Physician · NPI 1821618430

Daniel Glade, MD is a Dermatology in Provo, Utah. Qualified in 2020, 6 years ago. Practices with Premier Family Medical, a 84-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Licensed in
UT
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5314 N 250 W Ste 220
Provo, UT 84604-7746
Phone: (801) 225-8484
Fax: (801) 225-6170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 7942795-1205 (UT)

Record details

NPI number1821618430
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 23, 2020
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing address5314 N 250 W Ste 220, Provo, UT 84604-7746

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Premier Family Medical — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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