Brandon Allen Greene, MAT

Primary specialty

SpecialistTaxonomy code 174400000X

License

14881 Issued in HI

Practice address

1281 S King St
Honolulu, HI 96814-2254

Phone

(808) 593-8866

NPI assigned

Nov 21, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Thai-Issan Therapeutic Massage, LLC

  • Massage Therapist
  • Honolulu, HI
  • NPI 1457724387
  NPD (past)

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1760925960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142254",
            "telephone_number": "808-518-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142254",
            "telephone_number": "808-593-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "BRANDON",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "MAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "14881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Keith Green
• Jessica Green
• Julie Jolene Green, MSW
• Lauren McKenzi Green, NNP
• Sabrina L Green
• Rosaiah Joy Greenhaw, RN
• Katherine Greenwell, R.D
• Sarah Grace Greenwood
• Gary Lee Greer, L.AC.
• Mark Henry Kahikuonalani Greer, D.M.D.

• Specialist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.