PATRICK GREEN MD PLLC NPI 1518256650

NPI Information

  • NPI: 1518256650
  • Provider Name: PATRICK GREEN MD PLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: BONNEVILLE FAMILY PRACTICE
  • Address: 134 W 1180 N SUITE # 5
    TOOELE, UT
    ZIP 84074
  • Phone: (435) 248-0333

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NPI Details

PATRICK GREEN MD PLLC is a primary care clinic center in Tooele, UT. PATRICK GREEN MD PLLC NPI is 1518256650. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bonneville Family Practice.

The provider's business location address is:

134 W 1180 N SUITE # 5
TOOELE, UT
ZIP 84074
Phone: (435) 248-0333
Fax: (435) 248-0334

The provider's authorized official is Patrick Nelson Green .
The authorized official title is Owner and has the following contact phone number (801) 792-7335.

The enumeration date for this NPI number is 3/29/2011 and was last updated on 12/27/2024.

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
1207QA0401XFamily MedicineAddiction MedicineNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QP2300XClinic/CenterPrimary CareYes

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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