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

Glen Loy Portwood, MD

Individual provider Gastroenterology Physician · NPI 1316965726

Glen Loy Portwood, MD is an Internal Medicine in Charlotte, North Carolina. Graduated from Medical College of Georgia School of Medicine in 1989, 37 years ago. Practices with Carolina Digestive Health Associates PA, a 49-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
37
Trained at
Medical College of Georgia School of Medicine
Licensed in
NC
In the registry since
2006
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

101 E Wt Harris Blvd Ste 3111
Charlotte, NC 28262-7002
Phone: (704) 547-8818
Fax: (704) 547-9865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 9300570 (NC)

Record details

NPI number1316965726
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 17, 2006
Last updated in NPPESMay 4, 2017

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Carolina Digestive Health Associates Pa — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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