Brian Allen Green (NPI# 1033143714, PAC ID# 9335142892) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1033143714 |
| PAC ID by PECOS | 9335142892 |
| Professional Enrollment ID | I20101013000031 |
| Full Name | Brian Allen Green |
| Organization Legal Name | MEMPHIS RADIOLOGICAL PC |
| Address |
76 Tabb Dr Suite E Munford TN 38058-8611 |
| Phone Number | 9018402102 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1557333226 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| 440109 | HARDIN MEDICAL CENTER |
| 250167 | METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1377 S Germantown Rd, Germantown, TN 38138-2225 | 9017597500 | MEMPHIS RADIOLOGICAL PC |
| 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 9017255100 | MEMPHIS RADIOLOGICAL PC |
| 1938 Crescent Meadows Dr, Holly Springs, MS 38635-7419 | 6622521599 | MEMPHIS RADIOLOGICAL PC |
| 1265 Union Ave, Memphis, TN 38104-3415 | 9015167600 | MEMPHIS RADIOLOGICAL PC |
| 1300 Wesley Dr, Memphis, TN 38116-6426 | 9015163700 | MEMPHIS RADIOLOGICAL PC |
| 1801 Union Ave, Memphis, TN 38104-3942 | 9017223130 | MEMPHIS RADIOLOGICAL PC |
| 3960 New Covington Pike, Memphis, TN 38128-2504 | 9015165200 | MEMPHIS RADIOLOGICAL PC |
| 7691 Poplar Ave, Memphis, TN 38138-3904 | 9015616000 | MEMPHIS RADIOLOGICAL PC |
| 76 Tabb Dr, Suite E, Munford, TN 38058-8611 | 9018402102 | MEMPHIS RADIOLOGICAL PC |
| 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 6629329000 | MEMPHIS RADIOLOGICAL PC |
| 935 Wayne Rd, Savannah, TN 38372-1904 | 7319268000 | MEMPHIS RADIOLOGICAL PC |
| 7400 Airways Blvd, Southaven, MS 38671-5863 | 6625361000 | MEMPHIS RADIOLOGICAL PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | MEMPHIS RADIOLOGICAL PC |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph P Blankinship | Diagnostic Radiology | Memphis Radiological PC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Hollis H Halford Iii | Diagnostic Radiology | Memphis Radiological PC | 1265 Union Ave, Memphis, TN 38104-3415 |
| James S Hausmann | Diagnostic Radiology | Memphis Radiological PC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Benjamin C Holman | Diagnostic Radiology | Memphis Radiological PC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Wesley Alex Angel | Diagnostic Radiology | Memphis Radiological PC | 4250 Bethel Rd, Olive Branch, MS 38654-8737 |
| Jennifer Boals | Diagnostic Radiology | Memphis Radiological PC | 4250 Bethel Rd, Olive Branch, MS 38654-8737 |
| William A Graves | Diagnostic Radiology | Memphis Radiological PC | 4250 Bethel Rd, Olive Branch, MS 38654-8737 |
| Houston F Graves | Diagnostic Radiology | Memphis Radiological PC | 1265 Union Ave, Memphis, TN 38104-3415 |
| Timothy Donovan Sr. | Diagnostic Radiology | Memphis Radiological PC | 4250 Bethel Rd, Olive Branch, MS 38654-8737 |
| Mark W Weatherly | Diagnostic Radiology | Memphis Radiological PC | 4250 Bethel Rd, Olive Branch, MS 38654-8737 |
| Street Address |
76 TABB DR SUITE E |
| City | MUNFORD |
| State | TN |
| Zip | 38058-8611 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alejandro Natera | Diagnostic Radiology | Memphis Radiological PC | 76 Tabb Dr, Suite E, Munford, TN 38058-8611 |
| Andrea M Jossell | Chiropractic | Cannon Chiropractic, Pllc | 76 Tabb Dr, Munford, TN 38058-8611 |
| Jayson Cannon | Chiropractic | Cannon Chiropractic, Pllc | 76 Tabb Dr, Munford, TN 38058-8611 |
| Alexander Parham | Chiropractic | Cannon Chiropractic, Pllc | 76 Tabb Dr, Munford, TN 38058-8611 |
| David A Howard | Diagnostic Radiology | Memphis Radiological PC | 76 Tabb Dr, Suite E, Munford, TN 38058-8611 |
| Philip R Weber | Diagnostic Radiology | Memphis Radiological PC | 76 Tabb Dr, Suite E, Munford, TN 38058-8611 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George W Chambers | Internal Medicine | 56 E Main St, Munford, TN 38058-6054 | |
| Viktoriya Pleshkan | Nurse Practitioner | Take Care Health Tennessee, P. C. | 43 Tabb Dr, Munford, TN 38058-8602 |
| Alice Mcdonald | Nurse Practitioner | Take Care Health Tennessee, P. C. | 43 Tabb Dr, Munford, TN 38058-8602 |
| Dawn M Stewart | Nurse Practitioner | Speight Family Medical, LLC | 76 Tabb Dr E, Munford, TN 38058-8611 |
| City | MUNFORD |
| Zip Code | 38058 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MUNFORD + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Brian Allen 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.