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

Glen Fenton

Individual provider Neurology with Special Qualifications in Child Neurology Physician · NPI 1144246091

Glen Fenton is a Neurology in Saint Louis, Missouri. Graduated from Saint Louis University School of Medicine in 1985, 41 years ago. Practices with SSM Health Care Group, a 923-clinician group and accepts Medicare assignment. Licensed in Missouri and New Mexico.

Years since qualifying
41
Trained at
Saint Louis University School of Medicine
Licensed in
MO, NM
In the registry since
2006
Specialties on file
2

Practice location Address checks out

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone: (314) 577-5338
Fax: (314) 268-6411
Show map & directions

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

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X · Licence R5H36 (MO)
Neurology with Special Qualifications in Child Neurology Physician Taxonomy 2084N0402X · Licence MD2010-0078 (NM)

Record details

NPI number1144246091
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESJanuary 21, 2021
Certification dateJanuary 21, 2021
Mailing address1465 S Grand Blvd, Saint Louis, MO 63104-1003

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Saint Louis