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

Dr. Glen L Moore, MD

Individual provider Surgery Physician · NPI 1265533046

Dr. Glen L Moore, MD is a Surgery Physician in Chesapeake, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

113 Gainsborough Sq Ste 400
Chesapeake, VA 23320-1713
Phone: (757) 842-4499
Fax: (757) 842-1447
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 0101044198 (VA)

Record details

NPI number1265533046
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESMay 28, 2013
Mailing address113 Gainsborough Sq, Ste 400, Chesapeake, VA 23320-1713

Other providers in Chesapeake