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

Dr. Glenn Richard Gourley, MD

Individual provider Pediatrics Physician · NPI 1689606287

Dr. Glenn Richard Gourley, MD is a Pediatrics Physician in Minneapolis, Minnesota. Licensed in Arkansas and Minnesota. Registered with an NPI since 2006.

Licensed in
AR, MN
In the registry since
2006
Specialties on file
3
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

3001 Broadway St NE Ste 500
Minneapolis, MN 55413-2197
Phone: (612) 871-1145
Fax: (612) 870-5491
Show map & directions

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

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence E-10741 (AR)
Pediatrics Physician Taxonomy 208000000X · Licence 48367 (MN)
Pediatric Gastroenterology Physician Taxonomy 2080P0206X · Licence 48367 (MN)

Record details

NPI number1689606287
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESJune 5, 2019

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