Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386865319 Individual Practitioner Male Practitioner

Dr. Glen C Pettersen , DC

Chiropractor • Clearwater, FL

Professional Overview & Biography Verified Profile Summary

Dr. Glen Pettersen, DC is a registered healthcare professional specializing in Chiropractor in Clearwater, FL. Practice services are available at 2451 N MCMULLEN BOOTH RD STE 312B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2451 N Mcmullen Booth Rd Ste 312b

Clearwater, FL 337591342

Telephone 7272604366
Fax 7272223838

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Clearwater, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.8 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
116 Specialists

Practicing in Clearwater, FL (7309 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-04-05
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License FL CH8923

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Kerri Scherer , DPT

Physical Therapist

NPI 1568792828

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 05, 2021

Registered at 2451 N MCMULLEN BOOTH RD STE 312B, CLEARWATER, FL 337591342 (Tel: 7272604366)

📍
Updated Business Mailing Address April 05, 2021

Registered at 2451 N MCMULLEN BOOTH RD STE 312B, CLEARWATER, FL 337591342 (Tel: 7272604366)

NPI Profile Active May 05, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location May 05, 2010

Registered at 2495 ENTERPRISE RD, SUITE 104, CLEARWATER, FL 337631795 (Tel: 7274749729)

📍
Updated Business Mailing Address May 05, 2010

Registered at 2715 E GRAND RESERVE CIR APT 1316, CLEARWATER, FL 337594915 (Tel: 7274530123)

👤
Provider Name / Credentials Updated May 05, 2010

Recorded as GLEN PETTERSEN, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2010

Chiropractor (License #CH8923 in FL)

🟢
Initial NPI Registration & Enumeration May 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386865319
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2007
Last Update: April 05, 2021
Sole Proprietor: No

Mailing Address

2451 N Mcmullen Booth Rd Ste 312b

Clearwater, FL 337591342

Phone: 7272604366

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.