Brandon C Green (NPI# 1184864563, PAC ID# 7416112214) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1184864563 |
| PAC ID by PECOS | 7416112214 |
| Professional Enrollment ID | I20171012002616 |
| Full Name | Brandon C Green |
| Organization Legal Name | PHYSICIAN GROUP OF UTAH INC |
| Address |
3000 N Triumph Blvd Lehi UT 84043-4999 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Group Practice PAC ID | 8022032234 |
| Number of Group Practice Members | 163 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460051 | JORDAN VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3000 N Triumph Blvd, Lehi, UT 84043-4999 | PHYSICIAN GROUP OF UTAH INC | |
| 3580 W 9000, West Jordan, UT 84088-8812 | 8015618888 | PHYSICIAN GROUP OF UTAH INC |
| 3336 S Pioneer Pkwy, Suite 102, West Valley City, UT 84120-2072 | 8019643925 | PHYSICIAN GROUP OF UTAH INC |
| Organization Legal Name | PHYSICIAN GROUP OF UTAH INC |
| Physicians | 141 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley Deans | Neurology | Physician Group of Utah Inc | 3590 W 9000, Suite 240, West Jordan, UT 84088-8864 |
| Tamiyah Dinh | Nurse Practitioner | Physician Group of Utah Inc | 5980 S Fashion Blvd, Suite 203, Murray, UT 84107-7362 |
| Komal Rastogi | Neurology | Physician Group of Utah Inc | 1492 W Antelope Dr, Suite 203, Layton, UT 84041-1141 |
| Nicholas M Noble | Family Medicine | Physician Group of Utah Inc | 349 N Flint St, Suite 101, Kaysville, UT 84037-9808 |
| Robert W Engelen | Sports Medicine | Physician Group of Utah Inc | 3336 S Pioneer Pkwy, Suite 102, West Valley City, UT 84120-2072 |
| Mitchell Taylor Peterson | Physical Therapy | Physician Group of Utah Inc | 1840 S 1300, Salt Lake City, UT 84105-3617 |
| Patricia L Judson | Obstetrics/gynecology | Physician Group of Utah Inc | 3336 Pioneer Pkwy, Suite 301, West Valley City, UT 84120-2073 |
| Laura Chelu | Obstetrics/gynecology | Physician Group of Utah Inc | 82 S 1100, Suite 305, Salt Lake City, UT 84102-4703 |
| Andrew Benjamin Ward | Physician Assistant | Physician Group of Utah Inc | 3000 N Triumph Blvd, Lehi, UT 84043-4999 |
| Nancy Lieu | Clinical Social Worker | Physician Group of Utah Inc | 2530 W 4700 S, Salt Lake City, UT 84118-1865 |
| Street Address |
3000 N TRIUMPH BLVD |
| City | LEHI |
| State | UT |
| Zip | 84043-4999 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Benjamin Ward | Physician Assistant | Physician Group of Utah Inc | 3000 N Triumph Blvd, Lehi, UT 84043-4999 |
| James M Stewart | Internal Medicine | Granite Peaks Gi, LLC | 3000 N Triumph Blvd, Suite 250, Lehi, UT 84043-4999 |
| Christian I Garaycochea | Anesthesiology | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Amy S Mullins | Qualified Speech Language Pathologist | Jensen Therapy Associates Inc | 3000 N Triumph Blvd, Suite 310, Lehi, UT 84043-4999 |
| Jill Hodgson | Qualified Speech Language Pathologist | Jensen Therapy Associates Inc | 3000 N Triumph Blvd, Suite 310, Lehi, UT 84043-4999 |
| Mark C Harris | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Marlan Len Hansen | Internal Medicine | Santibanez Aguirre Slc PC | 3000 N Triumph Blvd, Lehi, UT 84043-4999 |
| Kendall A Grose | Anesthesiology | Physician Group of Utah Inc | 3000 N Triumph Blvd, Lehi, UT 84043-4999 |
| Rebecca Mackintosh | Nurse Practitioner | Physician Group of Utah Inc | 3000 N Triumph Blvd, Suite 110, Lehi, UT 84043-4999 |
| Janelle B Prescott | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy I Macnair | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Mark W Hedelius | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Joseph R Fitzgerald | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Catherine G Rawson | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| Sonia L Klonoski | Certified Registered Nurse Anesthetist (crna) | Alpine Anesthesia LLC | 3000 N Triumph Blvd, Lehi, UT 84043-0001 |
| James Silver Coy | Family Medicine | Ihc Health Services Inc | 354 W State St, Suite 73, Saratoga Springs, UT 84043-1119 |
| Kamal Chand Tottempudi | Family Medicine | Ihc Health Services Inc | 354 W State St, Suite 73, Saratoga Springs, UT 84043-1119 |
| Amy Ruth Hawks | Nurse Practitioner | Ihc Health Services Inc | 354 W State St, Suite 73, Saratoga Springs, UT 84043-1119 |
| Robert F Gray | Optometry | 75 W State St, Suite A, Lehi, UT 84043-1546 | |
| Derek R Pond | Physical Therapy | 394 W Main St, Suite 102, Lehi, UT 84043-2075 | |
| Find all physicians in zip 84043 | |||
| City | LEHI |
| Zip Code | 84043 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | LEHI + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Brandon C Green.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.