Individual provider Active NPI

Brennan P Greene, MD

  • Ophthalmology Physician
  • Louisville, KY
National Provider Identifier
1013003136
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
28804 Issued in KY
Practice address
1536 Story Ave
The Eye Care Institute Building
Louisville, KY 40206-1738
Phone
(502) 589-1500
Fax
(502) 589-1556
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 28804 KY Primary

Addresses

Primary practice location

1536 Story Ave
The Eye Care Institute Building
Louisville, KY 40206-1738

Mailing address

1536 Story Ave
The Eye Care Institute Building
Louisville, KY 40206-1738
Phone (502) 589-1500

Other practice location 1

301 E Muhammad Ali Blvd
Louisville, KY 40202-1511
Phone (502) 588-0550

Other identifiers 2

IdentifierTypeStateIssuer
64288046MedicaidKY
200045010MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100407000637 KY Practitioner - Ophthalmology 8325044480 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Louisville School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Louisville Physicians Inc 1,438 clinicians

Practice addresses (Care Compare)

301 E Muhammad Ali Blvd
Louisville, KY 40202-1511
Phone (502) 852-5466

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

Merit-based Incentive Payment System (MIPS)

Final score
88.06 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
60.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28804KYMDOphthalmology Physician

Practice roles (5 of 11)

OrganizationSpecialtyStatusNew patients
Retina Associates, PSC Ophthalmology CurrentSince Oct 16, 1995 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Aug 1, 2023 Accepting new patients
University of Louisville Physicians, Inc. Ophthalmology CurrentSince Aug 1, 2023 Accepting new patients
University of Louisville Physicians, Inc. Ophthalmology Current Accepting new patients
Vision Surgical Center at Springhill PSC PastSince Apr 9, 2015 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

302 W 14th St
Ste 100B
Jeffersonvlle, IN 47130
Phone (502) 245-0305

1536 Story Ave
Louisville, KY 40206
Phone (502) 589-1500

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

301 E Muhammad Ali Blvd
Louisville, KY 40202
Phone (502) 852-0710

Networks

  • TN PPO
  • TN PPO C-SNP
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • KY PPO C-SNP
  • KY PPO
  • OH PPO

Interoperability endpoints

  • Direct secure messaging: bgreene@eyecareinstitute.intellechartdirect.net
  • Direct secure messaging: bgreene37992@uoflhealth-dm.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1013003136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 STORY AVE",
            "address_2": "THE EYE CARE INSTITUTE BUILDING",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061738",
            "telephone_number": "502-589-1500",
            "fax_number": "502-589-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 STORY AVE",
            "address_2": "THE EYE CARE INSTITUTE BUILDING",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061738",
            "telephone_number": "502-589-1500",
            "fax_number": "502-589-1556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E Muhammad Ali Blvd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021511",
            "country_code": "US",
            "telephone_number": "502-588-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "BRENNAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "28804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64288046",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200045010",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.