NPI age
1 years
Enumerated 2025-01-06
● Active
Type 1 · Individual
Zachery Orion Glickman
Glickman is 1 of 10 military health care provider providers in Mountain Home Afb and 1 of 26 in Idaho.
Primary specialty
Military Health Care Provider
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2025-05-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 26 active military health care provider providers in Idaho.
NPI age
1 years
↓ 13 yr below median (14 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
3% of peers hold subspecialties
NPI lifetime · 2025 → 2026
2025-01Enumerated in NPPES
2025
2026
Where they practice
Practice location
90 Hope Dr
Mountain Home Afb, ID 836481057
Mailing address
90 Hope Dr
Mountain Home Afb, ID 836481057
Specialties
-
Military Health Care Provider PrimaryAn Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and...
Practice context
Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.