Brian Wayne Greening, APRN, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Tamuning, GU
NPI 1922523463 · NPPES record last updated Apr 13, 2020
Key facts
- NPI
- 1922523463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP134667 (TX)
- Practice address
- 523 Chalan Pasaheru
Tamuning, GU 96913 - Phone
- (671) 645-5360
- Fax
- (671) 649-3872
- NPI assigned
- Aug 5, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pacific Med and Nephrology
Practice addresses (Care Compare)
736 Route 4
Suite 103
Sinajana, GU 96910-3368
Phone 6716497232201
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GU
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240621000312 | GU | Practitioner - Nurse Practitioner | 2264975044 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP134667 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Med & Nephrology | Current |
Accepting new patients | |
| Advanced Eyecare, LLC | Past |
Accepting new patients |
Locations
736 Route 4
Ste 103
Sinajana, GU 96910
Phone (671) 649-7232
Interoperability endpoints
- brian.greening@almouiemd.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP134667 | TX | Yes |
Addresses
Primary practice location
523 Chalan Pasaheru
Tamuning, GU 96913
Mailing address
PO Box 22588
Barrigada, GU 96921-2588
Phone (671) 645-8360
Other providers in Tamuning, GU
- Government of Guam Department of Administration
- Jessica Evelyn Gow-Lee
- Lorraine Michelle Torres Gozum
- Andrew David Graves
- Eric Mark Greenfield
- Barbara J Gregory
- Robert W Gregory
- Edmund A Griley
- Guahan Physicians and Consultants
- Guahan Specialty and Wellness Center, LLC
All providers in Tamuning, GU · Family Nurse Practitioner in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.