Active NPI
Gilbert James Green, D.O.
- Neurology Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 34012932
- Practice address
- 2050 Kenny Rd FL 7
Columbus, OH 43221-3502 - Phone
- (614) 293-4969
- Fax
- (614) 293-4688
- NPI assigned
- Apr 18, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 34012932 | OH | Primary |
Addresses
Primary practice location
2050 Kenny Rd FL 7
Columbus, OH 43221-3502
Mailing address
700 Ackerman Rd Ste 570
Columbus, OH 43202-1579
Phone (614) 293-4969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Ohio State University College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17 Belmont Ave
Brattleboro, VT 05301-3498
17 Belmont Ave
Brattleboro, VT 05301-7601
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34012932 | OH | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brattleboro Memorial Hospital | Current | Accepting new patients | |
| Southern Vermont Health Services Corp | Past | Accepting new patients |
Locations
21 Belmont Ave
Ste 2
Brattleboro, VT 05301
Phone (802) 251-8787
17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Brattleboro, VT
- NPI 1306849708
-
- General Practice Physician
- Brattleboro, VT
- NPI 1952319220
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenfield, MA
- NPI 1508867391
-
- General Acute Care Hospital
- Brattleboro, VT
- NPI 1306849708
-
- Critical Access Hospital
- Townshend, VT
- NPI 1255337473
-
- General Acute Care Hospital
- Keene, NH
- NPI 1629181516
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1629788237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1962769661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD STE 570",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021579",
"telephone_number": "614-293-4969",
"fax_number": "614-293-4724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 KENNY RD FL 7",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432213502",
"telephone_number": "614-293-4969",
"fax_number": "614-293-4688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "GILBERT",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "34012932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.