Brian Green

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

28075 Issued in CA

Practice address

Camp Pendleton North
52 Area Smart Clinic
Oceanside, CA 92058

Phone

(814) 574-6049

NPI assigned

Oct 12, 2021

Last updated

Oct 23, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1215699715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 SMART CLINIC",
            "address_2": "CAMP PENDLETON NORTH",
            "city": "OCENANSIDE",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "814-574-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAMP PENDLETON NORTH",
            "address_2": "52 AREA SMART CLINIC",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92058",
            "telephone_number": "814-574-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-12",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "28075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Expectations Services Inc
• Greater San Diego Health - a Licensed Clinical Social Worker Co (Greater San Diego Health)
• Greater Tri Cities Ipa
• Donysia Marie Green-Gilmore, LCSW
• Althea D Green, RADT
• Gabrielle Green
• Gaye Denise Green, MHS,OTR/L
• Michael Green, M.D.
• Sherolyn Green, OTR/L
• Jake Greenberg

• Physical Therapist in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.