DR. BRANDON GREEN DO NPI 1275867715

NPI Information

  • NPI: 1275867715
  • Provider Name: DR. BRANDON GREEN, DO
  • Classification: Orthopaedic Surgery - 207XP3100X
  • Specialization: Pediatric Orthopaedic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 410 N STATE OF FRANKLIN RD
    SUITE 130
    JOHNSON CITY, TN
    ZIP 37604
  • Phone: (423) 431-2477

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NPI Details

DR. Brandon Green, DO is a pediatric orthopaedic surgery orthopaedic surgery in Johnson City, TN. The provider is an orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. DR. Brandon Green, DO NPI is 1275867715. 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:

410 N STATE OF FRANKLIN RD
SUITE 130
JOHNSON CITY, TN
ZIP 37604-971
Phone: (423) 431-2477

The NPI 1275867715 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/1/2009 and was last updated on 9/23/2016.

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
1207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryDO2176TENNESSEENo
2207XP3100XOrthopaedic SurgeryPediatric Orthopaedic Surgery074287GEORGIAYes

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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