Brian Lee Green, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001136A Issued in IN

Practice address

997 E County Line Rd
Suite M
Greenwood, IN 46143-1052

Phone

(317) 881-8119

NPI assigned

Dec 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Back to Health LLC

  • Chiropractor
  • Indianapolis, IN
  • NPI 1154511947

  IN

  Medicare reassignment Authorized official
• Apollo Wellness Group LLC

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1336769280
  NPD
• Combs Chiropractic Clinic

  • Chiropractor
  • Greenwood, IN
  • NPI 1437291838
  NPD (past)

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

{
    "created_epoch": "1167523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1508922691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 E COUNTY LINE RD",
            "address_2": "SUITE M",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431052",
            "telephone_number": "317-881-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 E COUNTY LINE RD",
            "address_2": "SUITE M",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431052",
            "telephone_number": "317-881-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "BRIAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-31",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001136A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000526653",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100324790A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher D Gray, PT
• Kimberly Gray, PMHNP
• Great Lakes Institute for Neuropsychology & Behavioral Health
• Green Counseling & Associates
• Angie Green, M.A.
• Dana Green, RBT
• Erica Green, MSW, LCSW
• Justin Lee Green, D.C.
• Micaiah Noel Green
• Rebecca Green, DO

• All providers in Greenwood, IN
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.