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DR. ROOSEVELT GREEN MD NPI 1093729014


NPI Information

NPI: 1093729014
Provider Name: DR. ROOSEVELT GREEN, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
751 PLEASANT ROW NW
HUNTSVILLE, AL
ZIP 35816
Phone: (256) 533-6311
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DR. Roosevelt Green, MD is a pediatrics in Huntsville, AL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Roosevelt Green, MD NPI is 1093729014. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

751 PLEASANT ROW NW
HUNTSVILLE, AL
ZIP 35816-537
Phone: (256) 533-6311

The enumeration date for this NPI number is 7/27/2006 and was last updated on 10/14/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics08804ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H71488MEDICARE UPINALABAMA
2515-05234OTHERALABAMABCBS
3011838MEDICARE ID-TYPE UNSPECIFIEDALABAMA
4630200045MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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