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

Justin A Glass, MD

Individual provider Family Medicine Physician · NPI 1194820852

Justin A Glass, MD is a Family Practice in Boise, Idaho. Graduated from University of New Mexico School of Medicine in 1997, 29 years ago. Practices with Full Circle Health Inc, a 109-clinician group and accepts Medicare assignment. Licensed in Georgia and Idaho.

Years since qualifying
29
Trained at
University of New Mexico School of Medicine
Licensed in
GA, ID
In the registry since
2006
Specialties on file
2
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

777 N Raymond St
Boise, ID 83704-9251
Phone: (208) 367-6030
Fax: (208) 322-7018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-10405 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence 56066 (GA)

Record details

NPI number1194820852
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 14, 2006
Last updated in NPPESJuly 22, 2009

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Full Circle Health Inc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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