NPI 1356440754 · live from the CMS NPI Registry
Brad Evan Green, DO
Orthopaedic Surgery in Westerly, RI. National Provider Identifier 1356440754, active.
NPI record
| NPI | 1356440754 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 45 Wells St Ste 204, Westerly, RI 02891 |
| Practice phone | 401-637-7929 |
| Mailing address | 47 College St, New Haven, CT 06510 |
| Enumerated | September 22, 2006 |
| Last updated | October 15, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 56273 (MA) |
| Orthopaedic Surgery | 207X00000X | DO00392 (RI) |
| Orthopaedic Surgery primary | 207X00000X | 61746 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.