William Brian Green

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP141283 Issued in TX

Practice address

113 Pleasant Valley Dr Ste 210
Boerne, TX 78006-5683

Phone

(830) 267-4575

Fax

(830) 267-4575

NPI assigned

Jun 20, 2019

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)

Enrolled

Credentials

Nurse Practitioner

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.

• Pak Medical Group, PLLC

  • Internal Medicine Physician
  • New Braunfels, TX
  • NPI 1992297816
  NPD

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1821658865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 DESERT FLOWER",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780061988",
            "telephone_number": "830-446-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 PLEASANT VALLEY DR STE 210",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780065683",
            "telephone_number": "830-267-4575",
            "fax_number": "830-267-4575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Desert Flower",
            "address_purpose": "LOCATION",
            "city": "Boerne",
            "state": "TX",
            "postal_code": "780061988",
            "country_code": "US",
            "telephone_number": "830-446-6780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "WILLIAM",
        "middle_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP141283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grasso Enterprises LLC
• Leigh Ann Grasso, PHARM.D.
• Rachel Aubrey Gravel, M.D.
• Lauren Gravesmill, SLP
• Kerry Green, MS, RD, LD
• Gale Gregory-Laine, D.O.
• Tristyn Lyn Greiman, PHARMD, RPH
• Natasha Gribble
• Aurora Grothe, MSN, APRN, FNP-C
• Kate Mackenzie Grove

• Psychiatric/Mental Health Nurse Practitioner in Boerne, TX
• Providers in Boerne, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.