DR. BOBBY G. GREEN D.C. NPI 1114900347

NPI Information

  • NPI: 1114900347
  • Provider Name: DR. BOBBY G. GREEN, D.C.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: RT. 60 & CANNELTON HOLLOW RD.
    SMITHERS, WV
    ZIP 25186
  • Phone: (304) 442-5188

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NPI Details

DR. Bobby G. Green, D.C. is a chiropractor in Smithers, WV. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Bobby G. Green, D.C. NPI is 1114900347. 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:

RT. 60 & CANNELTON HOLLOW RD.
SMITHERS, WV
ZIP 25186
Phone: (304) 442-5188
Fax: (304) 442-5188

The enumeration date for this NPI number is 11/22/2005 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorWV705WEST VIRGINIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17139239OTHERWEST VIRGINIAAETNA
2U66371MEDICARE UPINWEST VIRGINIA
30875383MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIA
4P00254800OTHERWEST VIRGINIARAILROAD MEDICARE
5225670OTHERWEST VIRGINIACARELINK

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: 11/21/2025

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