Brad Green, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35.124189 Issued in OH

Practice address

126 W 82ND St Apt 1
New York, NY 10024-5584

Phone

(571) 338-1966

NPI assigned

Jun 27, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, AZ2 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 2

Specialty

Emergency Medicine

Education

Georgetown University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Exceptional Physicians Group Arizona PLLCGroup PAC ID 0042605008, 12 clinicians

Tec Emergency Physicians of Arizona, LLCGroup PAC ID 6204256084, 155 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Exceptional Community Hospital - Maricopa Hospital, Maricopa, AZ, CCN 030152

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 and National Provider Directory roles.

• Exceptional Physicians Group Arizona PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Maricopa, AZ
  • NPI 1447910229
  Medicare reassignment Care Compare group NPD
• Tec Emergency Physicians of Arizona, LLC

  • Emergency Care Clinic/Center
  • Gilbert, AZ
  • NPI 1245772870
  Medicare reassignment Care Compare group NPD
• Emergency Professional Services, Inc.

  • Emergency Medicine Physician
  • Seaman, OH
  • NPI 1093762353
  Medicare reassignment NPD
• Exceptional Physicians Group Bullhead City Hospital PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bullhead City, AZ
  • NPI 1518732023
  Medicare reassignment NPD
• Exceptional Physicians Group Eloy Hospital PLLC

  • Emergency Medicine Physician
  • Eloy, AZ
  • NPI 1760203855
  Medicare reassignment NPD
• Exceptional Physicians Group Prescott Hospital PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Prescott, AZ
  • NPI 1720807670
  Medicare reassignment NPD
• Exceptional Physicians Group Yuma Hospital PLLC

  • Emergency Medicine Physician
  • Yuma, AZ
  • NPI 1235857699
  Medicare reassignment NPD
• Mahoning Valley Emergency Specialists LLC

  • Emergency Medicine Physician
  • Youngstown, OH
  • NPI 1003869652
  Medicare reassignment NPD
• Mves Austintown LLC

  • Emergency Medicine Physician
  • Austintown, OH
  • NPI 1972555944
  Medicare reassignment NPD
• Progressive Medical Associates PLLC

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1548218613
  Medicare reassignment NPD
• Mves Boardman LLC

  • Emergency Medicine Physician
  • Youngstown, OH
  • NPI 1205888237
  Medicare reassignment
• Osu Emergency Medicine LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Columbus, OH
  • NPI 1699705681
  NPD

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

• Exceptional Health Care Maricopa LLC

  • Special Hospital
  • Maricopa, AZ
  • NPI 1518539048
  Care Compare affiliation

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1972765253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6835 E CAMELBACK RD UNIT 5005",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513156",
            "telephone_number": "571-338-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W 82ND ST APT 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245584",
            "telephone_number": "571-338-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "BRAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "MD2020-0058",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.124189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Green, N.P.
• Ann Barlow Green, M.S.T.O.M., L.AC.
• Annette Green, CASAC-T BA
• Arielle Green, LCSW
• Bethany Weston Green
• Bryan M Green
• Caprees Green
• Casonya T Green, CDE
• Chelsie Green
• Chianne Green

• Emergency Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.