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

Dr. Tristan David Glenn, DO

Individual provider Neuromusculoskeletal Medicine & OMM Physician · NPI 1437882099

Dr. Tristan David Glenn, DO is an Osteopathic Manipulative Medicine in Fairbanks, Alaska. Graduated from University of New England, College of Osteo Medicine in 2021, 5 years ago. Practices with Tanana Valley Clinic LLC, a 142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
5
Trained at
University of New England, College of Osteo Medicine
Licensed in
AK
In the registry since
2022
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

1919 Lathrop St
Fairbanks, AK 99701-5937
Phone: (907) 459-2619
Fax: (907) 374-1089
Show map & directions

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

Additional practice locations (1)

  • 315 S Osteopathy Ave, Kirksville, MO 63501-6401 — (660) 785-1000

Specialties & licences

Sports Medicine (Neuromusculoskeletal Medicine) Physician (primary) Taxonomy 204C00000X · Licence 234573 (AK)
Neuromusculoskeletal Medicine & OMM Physician Taxonomy 204D00000X · Licence 234573 (AK)

Record details

NPI number1437882099
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 1, 2022
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025
Mailing addressPo Box 73720, Fairbanks, AK 99707-3720

Medicare enrollment

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

Medicare specialtyOSTEOPATHIC MANIPULATIVE MEDICINE
Also practisesSPORTS MEDICINE
Medical schoolUNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduated 2021 (5 years in practice)
Group practice Tanana Valley Clinic Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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