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

Kedric James Glenn, MD

Individual provider Emergency Medicine Physician · NPI 1578022398

Kedric James Glenn, MD is an Emergency Medicine in Temple, Texas. Graduated from Medical College of Wisconsin in 2018, 8 years ago. Practices with Northeast Texas Emergency Physicians PLLC, a 192-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Trained at
Medical College of Wisconsin
Licensed in
TX
In the registry since
2019
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

1901 SW H K Dodgen Loop
Temple, TX 76502-1814
Phone: (254) 724-2111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence S8040 (TX)

Record details

NPI number1578022398
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 19, 2019
Last updated in NPPESDecember 14, 2020
Certification dateDecember 14, 2020

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2018 (8 years in practice)
Group practice Northeast Texas Emergency Physicians Pllc — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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