Bonnie Graham Green, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

201402140 Issued in NC

Practice address

147 E Main St
Brevard, NC 28712-4617

Phone

(828) 884-7546

NPI assigned

Jul 31, 2006

Sex

Female

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 NC

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 1

Specialty

Family Practice

Education

Mercer University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henderson County Urgent Care Center IncGroup PAC ID 2466407572, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pardee Hospital Henderson County Hospital, Hendersonville, NC, CCN 340017

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Henderson County Urgent Care Center Inc

  • Urgent Care Clinic/Center
  • Hendersonville, NC
  • NPI 1518971910
  Medicare reassignment Care Compare group NPD
• Henderson County Hospital Corporation

  • Multi-Specialty Clinic/Center
  • Hendersonville, NC
  • NPI 1447444559

  Family Medicine

  NPD (past)
• Shands Teaching Hospital and Clinics Inc

  • Clinic/Center
  • Gainesville, FL
  • NPI 1821184649
  NPD (past)

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

• Henderson County Hospital Corporation

  • General Acute Care Hospital
  • Hendersonville, NC
  • NPI 1144247982
  Care Compare affiliation

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1972519916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 S RICE ST",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123722",
            "telephone_number": "828-883-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 E MAIN ST",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287124617",
            "telephone_number": "828-884-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "BONNIE",
        "middle_name": "GRAHAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "201402140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Jeffrey Gordon
• Betty Dean Gosnell
• Angus Woodward Graham III, MD
• Elizabeth Keats Grant, REGISTERED NURSE
• Ryan Greelis, MS, LAT, ATC
• Julie B Greene, LPC
• Amanda Gray Grubb, LCSW-A, LCAS-A
• Garrett Gunnell, DDS
• Matthew Todd Gunnell, D.D.S
• Richard Gunnell

• Family Medicine Physician in Brevard, NC
• Providers in Brevard, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.

Verify at the official NPI Registry.