DR. BRANDON C. GREEN (NPI# 1184864563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184864563 |
Entity Type | Individual |
Full Name | DR. BRANDON C. GREEN |
Credential | MD |
Practice Address |
3000 N Triumph Blvd Ste 110 Lehi UT 84043-4999 |
Practice Telephone | 8015055370 |
Mailing Telephone | 8015055370 |
Enumeration Date | 2009-02-25 |
Last Update Date | 2018-01-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
9374436-1205 | UT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | 3004771 | 05 |
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 |
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 |
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 |
3000 N TRIUMPH BLVD STE 110 |
City | LEHI |
State | UT |
Zip Code | 84043-4999 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962045096 | Summit Brain and Spine PC | Neurological Surgery | 3000 N Triumph Blvd Ste 110, Lehi, UT 84043-4999 | 2019-10-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285264358 | Sojo Dental Lehi | Dentist | 3397 N. 1200 E., Ste #102, Lehi, UT 84043 | 2020-01-17 |
1932754165 | Mckenzie Ward | Speech-Language Pathologist | 2750 N Digital Dr Lehi, Lehi, UT 84043 | 2019-08-05 |
1780248336 | Kimberly Ann Henne | Nurse Practitioner | 3750 Digital Drive, Lehi, UT 84043 | 2019-04-30 |
1962961086 | Corporate Concierge | Optometrist | 4415 N Deer Ridge Trail, Lehi, UT 84043 | 2019-03-18 |
1518435692 | Brindie Allan Bishop | Midwife | 1202 W. 800 S., Lehi, UT 84043 | 2018-11-07 |
1841766821 | Dry Creek Pediatric Dentistry | Dentist | 3300 N Running Creek Way F101, Lehi, UT 84043 | 2018-10-17 |
1437634219 | Banyan Consulting | Assisted Living Facility | 301 N 1200 E, Lehi, UT 84043 | 2018-09-27 |
1174005508 | Cameron Ronald John | Psychologist | 3375 W. Mayflower Way, Suite A, Lehi, UT 84043 | 2018-09-01 |
1114415130 | Covington Senior Living of Lehi | Assisted Living Facility | 301 N. 1200 E., Lehi, UT 84043 | 2018-04-25 |
1669978060 | Mark Alleman | Physical Therapy Assistant | 2750 N Digital Dr., Lehi, UT 84043 | 2018-04-04 |
Find all providers in zip 84043 |
Taxonomy Code | 2084P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Pain Medicine |
A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology. A subspecialty certificate was approved by ABMS in 1998. ACGME Accredited Residency Program Requirements: None. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710944293 | Mark Alen Rindflesh | Psychiatry & Neurology | 501 Chipeta Way, Uuni, Salt Lake City, UT 84108 | 2006-04-27 |
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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.