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

Dr. Glenn J Waldt, DO

Individual provider Neuromusculoskeletal Medicine & OMM Physician · NPI 1437219698

Dr. Glenn J Waldt, DO is a Pain Management in Las Cruces, New Mexico. Graduated from Philadelphia College of Osteopathic Medicine in 2018, 8 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
8
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
NM
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2803 Doral Ct
Las Cruces, NM 88011-8616
Phone: (046) 984-4063
Fax: (877) 532-2113
Show map & directions

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

Specialties & licences

Neuromusculoskeletal Medicine & OMM Physician (primary) Taxonomy 204D00000X · Licence A045921 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1437219698
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedDecember 11, 2006
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024
Mailing address1180 Commerce Drive #14222, Las Cruces, NM 88011-8255

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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