BRANDON K GREEN (NPI# 1851665244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851665244 |
| Entity Type | Individual |
| Full Name | BRANDON K GREEN |
| Practice Address |
2120 S 56th St Suite 204 Lincoln NE 68506-2118 |
| Practice Telephone | 3086273198 |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | CPO03152 | Suppliers |
| 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 |
| 1275867715 | Brandon Green | Orthopaedic Surgery | 410 N State of Franklin Rd, Suite 130, Johnson City, TN 37604-6971 | 2009-10-01 |
| 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 |
2120 S 56TH ST SUITE 204 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68506-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427004712 | Marianne Baskin | Social Worker | 2120 S 56th St, Suite 202, Lincoln, NE 68506-2118 | 2006-05-26 |
| 1982097762 | Ebj Deterding, LLC | Home Health | 2120 S 56th St, Suite 205, Lincoln, NE 68506-2118 | 2015-03-18 |
| 1720353980 | Premier O&p Inc. | Prosthetic/Orthotic Supplier | 2120 S 56th St, Suite 204, Lincoln, NE 68506-2118 | 2012-03-20 |
| 1720255714 | Complete Health Chiropractic P.C. | Chiropractor | 2120 S 56th St, Suite 101, Lincoln, NE 68506-2118 | 2008-05-09 |
| 1710078431 | Jason Christopher Mccullough | Chiropractor | 2120 S 56th St, Suite 101, Lincoln, NE 68506-2118 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058861 | Christine Ruth Bergman | Dentist | 2121 S 70th Street, Lincoln, NE 68506 | 2020-06-19 |
| 1881218428 | South Lincoln Family Dentistry LLC | Dentist | 2121 S. 70th Street, Lincoln, NE 68506 | 2020-05-29 |
| 1982235883 | Dermatology Associates of Lincoln, LLC | Dermatology | 6969 South Street, Lincoln, NE 68506 | 2020-01-29 |
| 1609343052 | Advanced Medical Imaging Surgery Center, LLC | Clinic/Center | 7555 Pioneers Blvd, Lincoln, NE 68506 | 2018-10-24 |
| 1912484064 | Knaub Counseling Services, Inc. | Counselor | 1919 S 40th St Ste 312, Lincoln, NE 68506 | 2018-07-22 |
| 1073004586 | Navigate LLC | Clinic/Center | 4535 Normal Blvd Ste 142, Lincoln, NE 68506 | 2018-05-21 |
| 1346761053 | Ewonubari Kehinde Erekere Kats | Registered Nurse | 1500 S. 70th Street, 104, Lincoln, NE 68506 | 2017-07-03 |
| 1871013300 | Jennifer N Miller | Registered Nurse | 1500 S 48th Street, Suite 800, Lincoln, NE 68506 | 2017-06-26 |
| 1407393143 | Samantha Wilson | Specialist/Technologist | 1900 Broadmoore Drive, Lincoln, NE 68506 | 2017-01-19 |
| 1588119283 | Doctors Outpatient Surgery Center | Clinic/Center | 5055 A St, Suite 100, Lincoln, NE 68506 | 2016-08-23 |
| Find all providers in zip 68506 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063938892 | Louis F Olberding, Dds, PC | Prosthetic/Orthotic Supplier | 3901 Pine Lake Rd Ste 115, Lincoln, NE 68516-5427 | 2017-08-14 |
| 1144663253 | Physical Therapy Solutions PC | Prosthetic/Orthotic Supplier | 2130 S 17th St Ste 200, Lincoln, NE 68502-3750 | 2013-04-09 |
| 1528395670 | Active Scoliosiscare | Prosthetic/Orthotic Supplier | 5757 S. 34th St., Suite 300, Lincoln, NE 68516 | 2009-11-11 |
| 1184831349 | Lifestyles Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 6940 Van Dorn St Ste 101, Lincoln, NE 68506-2858 | 2007-05-17 |
| 1093877920 | Moms Inc | Prosthetic/Orthotic Supplier | 415 North 66th St, Suite 8, Lincoln, NE 68505 | 2006-12-15 |
| 1437265626 | Helping Hands Physical Therapy PC | Prosthetic/Orthotic Supplier | 2801 Pine Lake Road, Suite K, Lincoln, NE 68516 | 2006-08-22 |
| 1841286556 | Triumph Home Health Supplies Inc. | Prosthetic/Orthotic Supplier | 3233 Cornhusker Hwy, Ste A, Lincoln, NE 68504-1586 | 2005-09-27 |
| 1720353980 | Premier O&p Inc. | Prosthetic/Orthotic Supplier | 2120 S 56th St, Suite 204, Lincoln, NE 68506-2118 | 2012-03-20 |
| 1649421884 | D.b.a Mom's Mastectomy | Prosthetic/Orthotic Supplier | 415 N 66th St, Suite 8, Lincoln, NE 68505-2431 | 2008-10-07 |
| 1659541605 | Orthocare Orthopedic Services | Prosthetic/Orthotic Supplier | 4500 S 70th St, Ste 102, Lincoln, NE 68516-4283 | 2008-03-06 |
| Find all providers in LINCOLN | ||||
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| 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.