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

Wallace Gladden

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1689803827

Wallace Gladden is a General Practice in Albuquerque, New Mexico. Graduated from Howard University College of Medicine in 2009, 17 years ago. Practices with Manzano Medical Group, PC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
17
Trained at
Howard University College of Medicine
Licensed in
MD
In the registry since
2009
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Practice location Partly verified

Some contact details are missing from the federal record.

Unm Dept OF Orthopaedics And 1 University OF New Mexico
Albuquerque, NM 87131-0001
Phone: (505) 272-6444
Fax: (505) 272-8099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence P27997 (MD)

Record details

NPI number1689803827
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 9, 2009
Last updated in NPPESMarch 22, 2017
Mailing address933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Also practisesPHYSICAL MEDICINE AND REHABILITATION
Medical schoolHOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Manzano Medical Group, P.C. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Albuquerque