Brad Evan Green, DO

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

61746 Issued in CT

Practice address

45 Wells St Ste 204
Westerly, RI 02891-2927

Phone

(401) 637-7929

Fax

(860) 865-2242

NPI assigned

Sep 22, 2006

Last updated

Oct 15, 2018By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: bgreen379150@direct.ynhh.org

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1356440754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 COLLEGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103209",
            "telephone_number": "401-637-7929",
            "fax_number": "860-865-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WELLS ST STE 204",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912927",
            "telephone_number": "401-637-7929",
            "fax_number": "860-865-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "BRAD",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "56273",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "RI",
            "license": "DO00392",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "61746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Paul Giuliano, DMD
• Going Beyond PT LLC
• Golden Years Assisted Living Community
• Tobias Mark Goodman, MD
• Chapin Graham
• Elizabeth Greene
• Robert Macmartin Greenlee, M.D.
• Nora Ann M Grills, O.D.
• Barbara S. Gronstrom-Smith
• Stephen B Gross, MD

• Orthopaedic Surgery Physician in Westerly, RI
• Providers in Westerly, RI by specialty
• Orthopaedic Surgery Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.