EXCLUDEDPROVIDER
Individual Revocation

Glen P Wilcoxson

Spanish Fort, AL 36527

Public HHS-OIG LEIE exclusion record

Glen P Wilcoxson of Spanish Fort, AL is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1689719890 with a primary specialty of Family Medicine. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Glen P Wilcoxson is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of January 20, 2010.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Spanish Fort, AL 36527
Exclusion date
January 20, 2010
Exclusion type
Revocation (1128b4)
NPI
1689719890

Record summary

Glen P Wilcoxson appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Spanish Fort, Alabama. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is January 20, 2010, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateJanuary 20, 2010
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1689719890
UPINP61717
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Spanish Fort, AL 36527. The listed provider category is Medical Practice, MD. The listed specialty is Family Practice.

NPI Registry context

The LEIE record lists NPI 1689719890. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Family Medicine (207Q00000X). Registered practice location: Daphne, AL. NPI enumeration date: Feb 21, 2007. NPPES status: Active. The NPI Registry lists credential: MD.

NPI Registry data is administrative provider-identification data from CMS. It does not independently verify or explain the HHS-OIG exclusion record above. Verify exclusion status directly with HHS-OIG.

Other excluded providers in Spanish Fort, AL

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Spanish Fort, AL address.

Coastal Outpatient Svcs, INC Entity Controlled Entity
Spanish Fort, AL · Entities controlled by a sanctioned individual · Excluded Dec 2002

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

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