CHARLES BRUCE GREEN (NPI# 1336262559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336262559 |
Entity Type | Individual |
Full Name | CHARLES BRUCE GREEN |
Credential | M.D. |
Practice Address |
Hq Usaf Sg 1780 Air Force Pentagon Washington DC 20330-0001 |
Mailing Address |
84 Westover Ave Sw Bolling Afb DC 20032-7432 |
Practice Telephone | 2027674766 |
Practice Fax Number | 2024047084 |
Mailing Telephone | 2108627592 |
Mailing Fax Number | 2024047084 |
Enumeration Date | 2007-04-10 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | G48009 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891285730 | Charles Green | Non-emergency Medical Transport (VAN) | 89 Hunt Ct Apt A, Columbia, SC 29206-5958 | 2018-05-16 |
1811266927 | Charles Perry Green | Community Health Worker | 3361 No Kid Rd, Kamiah, ID 83536-5002 | 2011-12-19 |
1588735146 | Charles Goodwin Green | Pharmacist | 221 S Midland Ave, Monroe, GA 30655-1629 | 2006-11-13 |
1073698189 | Charles Gary Green | Radiology | 60 Hall Street, Susanville, CA 96130 | 2006-10-26 |
1154801421 | Charles Green | Behavior Technician | 1819 E Springfield Ave Ste H, Spokane, WA 99202-2954 | 2018-08-16 |
1285110460 | Charles Jacob Green IIi | Social Worker | 2272 Collingwood Blvd, Toledo, OH 43620-1147 | 2018-07-11 |
1093226706 | Charles Levon Green | Counselor | 803 W 4th Street, Suite D, Pueblo, CO 81003 | 2017-10-20 |
1124471784 | Charles Green | Counselor | 684 Ellis St, San Francisco, CA 94109-8090 | 2016-07-19 |
1902127632 | Charles William Green | Nurse Practitioner | 500 Sentara Cir, Suite 102, Williamsburg, VA 23188-5727 | 2010-06-16 |
1528283926 | Charles Joseph Green | Orthopaedic Surgery | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2007-04-13 |
Street Address |
HQ USAF SG 1780 AIR FORCE PENTAGON |
City | WASHINGTON |
State | DC |
Zip Code | 20330-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306824859 | John Stuart Baxter | Family Medicine | Pentagon, Room 4a674, Arlington, VA 20330 | 2006-01-05 |
1013014869 | Wramc Treasury Tpcp | Military/U.S. Coast Guard Pharmacy | 1760 Usaf Pentagon, Washington, DC 20330-0001 | 2006-09-20 |
1073780342 | Sally R Hayes | Family Medicine | 1760 Air Force Pentagon, Rm 4a870, Washington, DC 20330-1760 | 2008-05-14 |
1831271402 | Eugene Vincent Bonventre | Preventive Medicine | Pentagon Flight Medicine Clinic, 1760 Air Force Pentagon Room 4a674, Washington, DC 20330-1760 | 2006-10-20 |
1336118660 | Darlene P Smallman | Family Medicine | Pentagon Flight Medicine Rm 4a870, 1760 Air Force Pentagon, Washington, DC 20330-1760 | 2006-03-17 |
1669460556 | George Peach Taylor Jr. | Preventive Medicine | Hq Usaf/sg, 1780 Air Force Pentagon, Washington, DC 20330-1780 | 2005-10-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205437993 | Rhonda Allman | Technician | 3118 Harris Hwy, Washington, WV 26181-8709 | 2020-11-08 |
1841891538 | Deidra Montgomery | Technician | 1402 Lake Washington Rd, Washington, WV 26181-8222 | 2020-11-08 |
1033710793 | Mykeena Naylor | Technician | 7 U St Nw, Washington, DC 20001-1010 | 2020-11-07 |
1942801683 | Jacquise C Martin | Technician | 2801 14th St Nw Apt 303, Washington, DC 20009-4946 | 2020-11-07 |
1497356133 | Deonta Marcell Saleem | Technician | 2400 Hartford St Se Apt 104, Washington, DC 20020-7967 | 2020-11-07 |
1033710959 | Wanda H. Rappaport | Psychologist | 2440 M Street, Nw, Suite 512, Washington, DC 20037 | 2020-11-06 |
1811598709 | Emily Ann Brown | Nutritionist | 4316 Alabama Ave Se, Washington, DC 20019-3001 | 2020-11-05 |
1447851548 | Caroline Nadine Hudgens | Technician | 2412 Wagner St Se, Washington, DC 20020-3416 | 2020-11-04 |
1255932380 | Donald Anthony Harris | Technician | 1924 Savannah St Se, Washington, DC 20020-7535 | 2020-11-04 |
1528669819 | Lyndell Neal Simms | Technician | 7053 Spring Pl Nw Apt 313, Washington, DC 20012-2193 | 2020-11-04 |
Find all providers in WASHINGTON |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598314908 | Centerville Clinics Inc | Family Medicine | Centerville Clinics - City Mission Site, 84 W Wheeling Street, Washington, PA 15301-6918 | 2019-09-09 |
1912487380 | James Elwood Richardson | Family Medicine | 270 Shady Ln, Washington, PA 15301-2536 | 2018-08-15 |
1851829709 | Jason Snavely | Family Medicine | 95 Leonard Ave Bldg 22nd, Washington, PA 15301-3368 | 2017-05-23 |
1760923361 | Natasha Khawaja | Family Medicine | Upper Cardozo Community Health Center, 320 14th Street Nw, Washington, DC 20009 | 2017-03-15 |
1992158364 | Ok Hee Rhee | Family Medicine | 6 Club House Dr Ste 102, Washington, NJ 07882-2213 | 2016-07-20 |
1154738193 | Presidential Healthcare Center | Family Medicine | 5215 Loughboro Road Nw, Suite 470, Washington, DC 20016 | 2014-07-22 |
1174936686 | Andrew Moss | Family Medicine | 6121 32nd St Nw, Washington, DC 20015-2459 | 2014-06-03 |
1417367814 | Fri Awasum | Family Medicine | 2041 Georgia Ave Nw Faclty Practice Plan Suite 3200, Washington, DC 20060-7232 | 2014-05-07 |
1982024378 | Robert Latham Baillieu | Family Medicine | 1400 I (eye) Street Nw, Suite 825, Washington, DC 20005 | 2014-04-24 |
1003233453 | Jennifer Carlton | Family Medicine | 64580 Van Dyke Rd Ste C, Washington, MI 48095-2811 | 2014-03-24 |
Find all providers in WASHINGTON |
City | WASHINGTON |
Zip Code | 20330 |
Please comment or provide details below to improve the information on CHARLES BRUCE GREEN.
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.