NPIMap

Individual provider Active NPI

Bryan J Greene

  • Emergency Medicine Physician
  • Bend, OR
National Provider Identifier
1457819930
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO221350 Issued in OR
Practice address
1884 NE Monroe LN
Bend, OR 97701-6507
Phone
(253) 350-4533
NPI assigned
Mar 4, 2019
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DO221350 OR Primary

Addresses

Primary practice location

1884 NE Monroe LN
Bend, OR 97701-6507

Mailing address

1884 NE Monroe LN
Bend, OR 97701-6507
Phone (253) 350-4533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240731003516 OR Practitioner - Emergency Medicine 7911354543 Reassigns benefits to 1 organization
I20240927001789 PA Practitioner - Emergency Medicine 7911354543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Clair Medical Services IncGroup PAC ID 4183511553, 203 clinicians
Mid-Columbia Medical CenterGroup PAC ID 3779487251, 99 clinicians

Practice addresses (Care Compare)

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873
Phone (412) 942-4000

1700 E 19TH St
The Dalles, OR 97058-3317
Phone (541) 296-1111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO221350ORMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Medical Center CurrentSince Aug 1, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 27, 2024 Accepting new patients
St. Clair Medical Services Inc. CurrentSince May 8, 2025 Accepting new patients
St Clair Medical Services, Inc. Current Accepting new patients
Healthcare for the Mid-Columbia Region Emergency Medicine Current Accepting new patients
Mid-Columbia Medical Center CurrentSince Aug 1, 2024 Accepting new patients
University of Pittsburgh Physicians Emergency Medicine CurrentSince Jul 27, 2024 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
St Clair Medical Services Inc CurrentSince May 8, 2025 Accepting new patients
Mid-Columbia Medical Center Past Accepting new patients

Locations

1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251

1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201

551 Lone Pine Blvd
The Dalles, OR 97058
Phone (541) 296-7202

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

Interoperability endpoints

  • Direct secure messaging: bgreene174901@direct.ohsu.edu

Organizations & group practices 10

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1457819930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1884 NE MONROE LN",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016507",
            "telephone_number": "253-350-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1884 NE MONROE LN",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016507",
            "telephone_number": "253-350-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "BRYAN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-04",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "DO221350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.