Bobby G. Green, D.C.
Individual provider Active NPI Chiropractor · Smithers, WV
NPI 1114900347 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1114900347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- WV705 (WV)
- Practice address
- RT. 60 & Cannelton Hollow Rd.
Smithers, WV 25186 - Phone
- (304) 442-5188
- Fax
- (304) 442-5188
- NPI assigned
- Nov 22, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WV705 | WV | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | WV705 | WV | Yes |
Addresses
Primary practice location
RT. 60 & Cannelton Hollow Rd.
Smithers, WV 25186
Mailing address
Cannelton Hollow Rd.
P.O. Box 200
Smithers, WV 25186
Phone (304) 442-5188
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7139239 | Other | WV | AETNA |
| P00254800 | Other | WV | RAILROAD MEDICARE |
| 225670 | Other | WV | CARELINK |
Other providers in Smithers, WV
- Pamela Coleman
- Brandy Fleaming
- Madison T Fleming
- Lee Edward Gillenwalters
- Alonzo Goudy
- Amber Ellen Hampe
- Hometown Medical LLC
- Tabitha Jones
- Kroger Limited Partnership I
- New River Health Association, Inc.
All providers in Smithers, WV · Chiropractor in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.