Individual provider Active NPI

Brian Robert Green, D.C.

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1932153327
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006907L Issued in PA
Practice address
783 Pine Valley Dr
Pittsburgh, PA 15239-2842
Phone
(724) 733-2225
Fax
(724) 733-2500
NPI assigned
May 20, 2006
Last updated
Sep 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC006907L PA Primary

Addresses

Primary practice location

783 Pine Valley Dr
Pittsburgh, PA 15239-2842

Mailing address

783 Pine Valley Dr
Pittsburgh, PA 15239-2842
Phone (724) 733-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120117000554 PA Practitioner - Chiropractic 4385811256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pine Valley Chiropractic Clinic, Inc.Group PAC ID 2365415965, 2 clinicians

Practice addresses (Care Compare)

4018 Saltsburg Rd
Murrysville, PA 15668-9774
Phone (724) 733-2225

785 Pine Valley Dr
Pittsburgh, PA 15239-2842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
G and S Chiropractic Chiropractor Past Accepting new patients
Marsalese Chiropractic Offices PC Chiropractor Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1932153327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "783 PINE VALLEY DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152392842",
            "telephone_number": "724-733-2225",
            "fax_number": "724-733-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 PINE VALLEY DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152392842",
            "telephone_number": "724-733-2225",
            "fax_number": "724-733-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "BRIAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006907L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.