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

Glenn L Robertson, MD

Individual provider Family Medicine Physician · NPI 1144281122

Glenn L Robertson, MD is a Family Practice in North Logan, Utah. Graduated from Eastern Virginia Medical School in 1996, 30 years ago. Practices with San Juan County Hospital, a 19-clinician group and accepts Medicare assignment. Licensed in Idaho, Utah, Virginia and Wyoming.

Years since qualifying
30
Trained at
Eastern Virginia Medical School
Licensed in
ID, UT, VA, WY
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2380 N 400 E Ste A
North Logan, UT 84341-1756
Phone: (435) 554-3240
Fax: (435) 554-3241
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 372285-1205 (UT)
Family Medicine Physician Taxonomy 207Q00000X · Licence M-14903 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence 12808A (WY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0101246275 (VA)

Record details

NPI number1144281122
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2006
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025
Mailing addressPo Box 5546, Denver, CO 80217-5546

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 1996 (30 years in practice)
Group practice San Juan County Hospital — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in North Logan