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

Glenn S. Roush, MD

Individual provider Diagnostic Radiology Physician · NPI 1063461416

Glenn S. Roush, MD is a Diagnostic Radiology Physician in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.

Licensed in
NM
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

4411 The 25 Way NE
Albuquerque, NM 87109-5888
Phone: (505) 332-6921
Fax: (256) 382-6455
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 79-83 (NM)

Record details

NPI number1063461416
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 10, 2006
Last updated in NPPESJuly 13, 2026
Mailing address121 Greystone Dr, Hillsboro, OH 45133-1537

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