Brandon K Green

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CPO03152

Practice address

2120 S 56TH St
Suite 204
Lincoln, NE 68506-2118

Phone

(308) 627-3198

NPI assigned

Mar 1, 2012

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

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.

• Premier O&P Inc.

  • Prosthetic/Orthotic Supplier
  • Lincoln, NE
  • NPI 1720353980
  NPD (past) Authorized official

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1851665244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 S 56TH ST",
            "address_2": "SUITE 204",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 S 56TH ST",
            "address_2": "SUITE 204",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062118",
            "telephone_number": "308-627-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "BRANDON",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": "CPO03152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Green Chiropractic PC
• Sydney Clara Green-Line, DPT
• Alicia Haide Green
• Amanda Grace Green, PA
• Angela Green, MS, CCC-SLP
• Bridget Dawn Green, PHYSICIAN ASSISTANT
• Claire M Green, APRN
• Dusty Green
• Hamilton Green
• Ij Green

• Prosthetic/Orthotic Supplier in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Prosthetic/Orthotic Supplier in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.