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Deactivated NPI 1134190390 Deactivated / Inactive NPI Male Practitioner

Dr. Glen S Bartlett , MD, PhD

Pediatrics • Hershey, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Glen Bartlett has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 27, 2006
NPI Deactivation Date March 06, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Glen Bartlett, MD, PhD was a registered Pediatrics practicing in Hershey, PA. Throughout an active medical career spanning 19 years, Dr. Bartlett provided care at the practice location at 441 E CHOCOLATE AVE until profile deactivation on 2025-03-06.

Practice Location & Contact Primary Location

Practice Address

441 E Chocolate Ave

Hershey, PA 170331324

Telephone 7175337850
Fax 7175338294
Associated Practice Facility / Clinic
🏢 Glen S Bartlett Facility NPI 1396715884

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Hershey, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
108 Specialists

Practicing in Hershey, PA (3505 Statewide)

Telehealth Adoption Rate
0.9% 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License PA MD016218E

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Jacob Morrison

Nurse Practitioner - Pediatrics

NPI 1003353673
Lindsay Dougherty , CRNP

Nurse Practitioner - Family

NPI 1588581953

Certified Registered Nurse Practitioner

Sarah Bright , PA-C

Physician Assistant - Medical

NPI 1760738629

Physician Assistant (Certified)

NPI 1841260395

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 06, 2025

Record deactivated on March 06, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 441 E CHOCOLATE AVE, HERSHEY, PA 170331324 (Tel: 7175337850)

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Updated Business Mailing Address July 08, 2007

Registered at 10 SMOKE HOUSE RD, HUMMELSTOWN, PA 170369276

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Provider Name / Credentials Updated July 08, 2007

Recorded as GLEN BARTLETT, M.D., PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #MD016218E in PA)

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Initial NPI Registration & Enumeration January 27, 2006

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: 1134190390
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2006
Last Update: July 08, 2007
Deactivation Date: March 06, 2025

Mailing Address

10 Smoke House Rd

Hummelstown, PA 170369276

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.