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

Dr. Glenn Joseph Fennelly

Individual provider Pediatrics Physician · NPI 1538220678

Dr. Glenn Joseph Fennelly is a Pediatric Medicine in Bronx, New York. Qualified in 1987, 39 years ago. Practices with Texas Tech University Health Sciences Center El Paso, a 307-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and Texas.

Years since qualifying
39
Licensed in
NY, TX
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

1400 Pelham Pkwy S
Bronx, NY 10461-1138
Phone: (718) 918-3060
Fax: (718) 918-4469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4801 Alberta Ave, El Paso, TX 79905-2707 — (915) 215-5700

Specialties & licences

Pediatric Infectious Diseases Physician (primary) Taxonomy 2080P0208X · Licence S7213 (TX)
Pediatrics Physician Taxonomy 208000000X · Licence S7213 (TX)
Pediatrics Physician Taxonomy 208000000X · Licence 177223-1 (NY)

Record details

NPI number1538220678
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 13, 2006
Last updated in NPPESJuly 2, 2020
Certification dateJuly 2, 2020

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Also practisesINFECTIOUS DISEASE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Texas Tech University Health Sciences Center El Paso — 307 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bronx