Brett Travis Greene, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD163277 Issued in OR

Practice address

541 NE 20TH Ave
Suite 210
Portland, OR 97232-2862

Phone

(503) 233-6940

NPI assigned

May 23, 2011

Last updated

Jun 22, 2016By the provider in NPPES

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

Enrolled in OR, WA, PA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Emergency MedicineAlso: Family Practice

Education

Rutgers New Jersey Medical School, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096
• Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coquille Valley Hospital District

  • Critical Access Hospital
  • Coquille, OR
  • NPI 1730223967
  Medicare reassignment NPD
• CRM Physicians, LLC

  dba Ascent Healthcare

  • Internal Medicine Physician
  • Beaverton, OR
  • NPI 1952674996

  Family Medicine, WA

  Medicare reassignment NPD
• Good Shepherd Health Care System

  dba Good Shepherd Medical Center

  • Critical Access Hospital
  • Hermiston, OR
  • NPI 1295789667
  Medicare reassignment NPD
• Emergency Physician Associates of Pennsylvania, PC

  • Emergency Medicine Physician
  • Hanover, PA
  • NPI 1619990900
  Medicare reassignment NPD
• Northwest Emergency Physicians LLC

  dba Nep

  • Emergency Medicine Physician
  • Arlington, WA
  • NPI 1235172370

  OR

  Medicare reassignment NPD
• Portland Family Practice Inc.

  • Family Medicine Physician
  • Portland, OR
  • NPI 1508857657
  NPD
• St. Joseph Medical Group

  • Family Medicine Physician
  • Reading, PA
  • NPI 1184754657
  NPD
• St. Joseph Medical Group

  • Anesthesiology Physician
  • Reading, PA
  • NPI 1841680881
  NPD
• St Joseph Regional Health Network

  dba Penn State Health St Joseph

  • General Acute Care Hospital
  • Reading, PA
  • NPI 1699734665
  NPD (past)

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

• St Joseph Regional Health Network

  dba Penn State Health St Joseph

  • General Acute Care Hospital
  • Reading, PA
  • NPI 1699734665
  Care Compare affiliation
• The Milton S Hershey Medical Center

  • General Acute Care Hospital
  • Hershey, PA
  • NPI 1568435477
  Care Compare affiliation

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1912290032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 NE 20TH AVE",
            "address_2": "SUITE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322862",
            "telephone_number": "503-233-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 NE 20TH AVE",
            "address_2": "SUITE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322862",
            "telephone_number": "503-233-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "BRETT",
        "middle_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-23",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD163277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac Greenblatt
• Greenbriar Psychotherapy Inc
• Amy Suzanne Greene, M.D.
• Benjamin Paul Greene, QMHA
• Bram Akivah Greene
• David Greene, QMHP
• Devon Greene
• Erin Michele Greene
• Joseph Greene, CADC I
• June Greene

• Family Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.