Doctor profile · Federal record
Dr. Glenn Gourley, M.D.
Pediatric Gastroenterology Physician · Pediatrics Physician · Pediatric Gastroenterology Physician · Minneapolis, MN
- NPI 1689606287
- 20 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3001 Broadway St Ne Ste 500
Minneapolis, MN 554132197
(612) 871-1145
fax (612) 870-5491 - Mailing address
-
Po Box 14909
Minneapolis, MN 554140909
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- June 5, 2019
- Specialty taxonomy
- 2080P0206X — NUCC code
- State licenses (2)
- Arkansas #E-10741 · Minnesota #48367
- Medicaid (2)
- IA #1511089 · MN #220820200
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1689606287. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$14
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GENZYME CORPORATION | 1 | $14.16 |
By nature of payment
Frequently asked questions
What is Dr. Glenn Gourley's medical specialty?
Dr. Glenn Gourley practices Pediatric Gastroenterology Physician in Minneapolis, MN.
Where does Dr. Glenn Gourley practice?
Dr. Glenn Gourley practices at 3001 Broadway St Ne Ste 500, Minneapolis, MN 554132197. Office phone: 6128711145.
What is Dr. Glenn Gourley's NPI?
Dr. Glenn Gourley's National Provider Identifier (NPI) is 1689606287, issued by NPPES.