DR. BRANDON GREEN (NPI# 1275867715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275867715 |
| Entity Type | Individual |
| Full Name | DR. BRANDON GREEN |
| Credential | DO |
| Practice Address |
410 N State of Franklin Rd Suite 130 Johnson City TN 37604-6971 |
| Mailing Address |
36 Sanctuary Ct Johnson City TN 37615-4191 |
| Practice Telephone | 4234312477 |
| Mailing Telephone | 4234445047 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2016-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
DO2176 | TN | Allopathic & Osteopathic Physicians |
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
074287 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508401126 | Brandon Green | Pharmacist | 7472 S Tucson Way Ste 100, Centennial, CO 80112-3964 | 2019-11-07 |
| 1003216177 | Brandon Green | Specialist/Technologist | 300 Huntingdon Dr, Williamstown, NJ 08094-8830 | 2014-08-26 |
| 1841582046 | Brandon Scott Green | Pharmacist | 3368 Blackford Pkwy, Lexington, KY 40509-9070 | 2011-05-05 |
| 1184864563 | Brandon C. Green | Psychiatry & Neurology | 3000 N Triumph Blvd Ste 110, Lehi, UT 84043-4999 | 2009-02-25 |
| 1548879422 | Brandon Michael Green | Marriage & Family Therapist | 525 Cabrillo Park Dr Ste 300, Santa Ana, CA 92701-5017 | 2020-07-27 |
| 1467912410 | Brandon Lee Green | Student in an Organized Health Care Education/Training Program | 2041 Georgia Ave Nw, Washington, DC 20060-0001 | 2019-03-24 |
| 1851882104 | Brandon Jason Green | Pharmacist | 833 S Salisbury Blvd, Salisbury, MD 21801-6207 | 2018-05-22 |
| 1851665244 | Brandon K Green | Prosthetic/Orthotic Supplier | 2120 S 56th St, Suite 204, Lincoln, NE 68506-2118 | 2012-03-01 |
| 1669609160 | Brandon Michael Green | Physical Medicine & Rehabilitation | 295 Columbia Rd, Boston, MA 02121-3409 | 2009-06-11 |
| 1063663318 | Brandon Green | Case Manager/Care Coordinator | 1311 Fort Street, Barling, AR 72923 | 2008-10-06 |
| Street Address |
410 N STATE OF FRANKLIN RD SUITE 130 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346248028 | Brian Mason | Radiology | 410 N State of Franklin Rd, Suite 135b, Johnson City, TN 37604-6971 | 2005-07-07 |
| 1356880199 | Shriners Hospitals for Children | Orthopaedic Surgery | 410 N State of Franklin Rd, Suite 130, Johnson City, TN 37604-6971 | 2017-02-13 |
| 1043688385 | Blue Ridge Medical Management Corporation | Radiology | 410 N State of Franklin Rd, Suite 135b, Johnson City, TN 37604 | 2015-09-03 |
| 1659776375 | Blue Ridge Medical Management Corporation | Psychiatry & Neurology | 410 N State of Franklin Rd, Suite 135, Johnson City, TN 37604-6971 | 2014-10-23 |
| 1003152307 | Blue Ridge Medical Management Corporation | Neurological Surgery | 410 N State of Franklin Rd, Suite 120, Johnson City, TN 37604-6971 | 2012-12-14 |
| 1134497787 | Ted Allan White | Nurse Practitioner | 410 N State of Franklin Rd, Suite 130, Johnson City, TN 37604-6971 | 2011-12-12 |
| 1518266725 | William Andrew Crabtree | Physician Assistant | 410 N State of Franklin Rd, Suite 130, Johnson City, TN 37604-6971 | 2011-03-28 |
| 1093016024 | Blue Ridge Medical Management Corporation | Orthopaedic Surgery | 410 N State of Franklin Rd, Suite 130, Johnson City, TN 37604-6971 | 2010-11-08 |
| 1245559236 | Tanzid Shams | Psychiatry & Neurology | 410 N State of Franklin Rd, Suite 135, Johnson City, TN 37604 | 2010-05-31 |
| 1801022975 | John Benjamin Yarger | Surgery | 410 N State of Franklin Rd, Suite 130, Johnson City, TN 37604-6971 | 2009-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932617271 | Blue Ridge Medical Management Corpoartion | Orthopaedic Surgery | 410 N State of Franklin Rd Ste 130, Johnson City, TN 37604-6972 | 2018-01-22 |
| 1356880199 | Shriners Hospitals for Children | Orthopaedic Surgery | 410 N State of Franklin Rd, Suite 130, Johnson City, TN 37604-6971 | 2017-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285899898 | The Austin Center | Orthopaedic Surgery | 2277 West St, Suite 100, Germantown, TN 38138-5961 | 2008-07-23 |
| 1366769994 | Robert Quigley | Orthopaedic Surgery | 910 Blackford St, Chattanooga, TN 37403-1405 | 2010-04-21 |
| 1285836056 | Jeffrey Edward Martus | Orthopaedic Surgery | 3601 Tvc, Nashville, TN 37232-5100 | 2007-06-04 |
| 1649499971 | Derek M Kelly | Orthopaedic Surgery | 1458 W Poplar Ave, Suite 100, Collierville, TN 38017-0630 | 2007-04-25 |
| 1972650869 | Jonathan Gregory Schoenecker | Orthopaedic Surgery | 3601 Tvc, Nashville, TN 37232-5100 | 2007-01-04 |
| 1760462261 | Wendell Moses | Orthopaedic Surgery | 900 E 3rd St, Chattanooga, TN 37403-2101 | 2006-01-19 |
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on DR. BRANDON GREEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.