BRADLEY ALAN GREENE


Address: 3130 Alpine Rd, Suite 195, Portola Valley, CA 94028-7549
Phone: 6508510155

BRADLEY ALAN GREENE (NPI# 1811098379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811098379
Entity Type Individual
Full Name BRADLEY ALAN GREENE
Credential MD
Practice Address 3130 Alpine Rd
Suite 195
Portola Valley
CA 94028-7549
Practice Telephone 6508510155
Practice Fax Number 6505290929
Mailing Telephone 6508510155
Mailing Fax Number 6505290929
Enumeration Date 2006-09-26
Last Update Date 2013-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207YS0123X Otolaryngology
Specialization: Facial Plastic Surgery
A74002 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 3130 ALPINE RD
SUITE 195
City PORTOLA VALLEY
State CA
Zip Code 94028-7549

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033216999 Elizabeth J. Mahler Psychiatry & Neurology 3130 Alpine Rd, Suite 180, Portola Valley, CA 94028-7549 2006-09-20
1568512184 Fariba Lessani Optometrist 3130 Alpine Rd, Suite 220, Portola Valley, CA 94028-7549 2007-01-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922512979 Rochelle Marie Perucca Counselor 501 Portola Rd. #8046, Portola Valley, CA 94028 2017-11-29
1285854299 Thomas James Fogarty Thoracic Surgery (Cardiothoracic Vascular Surgery) 3270 Alpine Road, Portola Valley, CA 94028 2007-05-01
1790806131 Ning Tang Internal Medicine 3250 Alpine Road, Stanford Primary Care, Portola Valley, CA 94028 2007-04-03
1174652622 Catherine Sonquist Forest Family Medicine 3240 Alpine Rd, Stanford Community Primary Care, Portola Valley, CA 94028 2007-03-02
1083767701 Matthew S Plume Physical Therapist 150 Portola Road, Suite B, San Francisco, CA 94028 2007-01-18
1417045279 Ellen Marie Hoffman Chiropractor 884 Portola Road, A5, Portola Valley, CA 94028 2006-10-10
1376986810 Alice Chung Family Medicine 3250 Alpine Road, Portola Valley, CA 94028 2013-04-15
1144364233 Lucy Stuart Tompkins Internal Medicine 300 Pasteur Drive, Stanford University Medical Center S169, Stanford, CA 94028 2007-02-20
1285786202 Susan Eileen Light Psychologist 1187 University Dr, Menlo Park, CA 94028 2007-01-18
1184991275 Diane J Schiano Counselor 2673 Alpine Rd, Portola Valley, CA 94028-6365 2011-11-17
Find all providers in zip 94028

Taxonomy Information

Taxonomy Code 207YS0123X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Facial Plastic Surgery

Taxonomy Definition

An otolaryngologist who specializes in facial plastic surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114550498 Hootan Zandifar Md Inc Otolaryngology 8920 Wilshire Blvd Ste 604, Beverly Hills, CA 90211-2006 2020-02-14
1548751183 Farhad Ardesh Md Inc Otolaryngology 11620 Wilshire Blvd Ste 280, Los Angeles, CA 90025-1263 2018-05-18
1174943377 Sunny Park Md, Inc Otolaryngology 901 Dover Dr Ste 126, Newport Beach, CA 92660-5546 2014-04-26
1154743987 Keith Jay Wahl Otolaryngology 8735 Nottingham Pl, La Jolla, CA 92037-2129 2014-01-14
1295179570 Ari Joseph Hyman Otolaryngology 16311 Ventura Blvd Ste 600, Encino, CA 91436-2134 2013-04-17
1710229893 Zachary Calnan Fridirici Otolaryngology 2233 Post St Fl 3, San Francisco, CA 94115 2013-03-26
1376883975 Su Mai Otolaryngology 13071 Brookhurst St Ste 150, Garden Grove, CA 92843-1024 2013-02-20
1710244892 Meaghan Noud Otolaryngology 421 Post St Fl 14, San Francisco, CA 94102 2012-04-13
1508164500 Dr. Sasha Maher D.o. Otolaryngology 10861 Cherry St Ste 106, Los Alamitos, CA 90720-5403 2011-03-01
1871804187 Edwin E Breitenbach Otolaryngology 2601 Augusta, Tustin, CA 92782-1201 2010-07-01
Find all providers with the same taxonomy

Competitor

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City PORTOLA VALLEY
Zip Code 94028

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Dataset Information

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.

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