CHARLES BRUCE GREEN


Address: Hq Usaf Sg, 1780 Air Force Pentagon, Washington, DC 20330-0001
Phone: 2027674766

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine G48009 CA Allopathic & Osteopathic Physicians

Other Providers CHARLES GREEN

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

Office Location

Street Address HQ USAF SG
1780 AIR FORCE PENTAGON
City WASHINGTON
State DC
Zip Code 20330-0001

Providers in the same zip code

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

Providers in the same city

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1942801683 Jacquise C Martin Technician 2801 14th St Nw Apt 303, Washington, DC 20009-4946 2020-11-07
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City WASHINGTON
Zip Code 20330

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Dataset Information

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.

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