DRS. GREEN P.C. NPI 1669486973

NPI Information

  • NPI: 1669486973
  • Provider Name: DRS. GREEN, P.C.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Address: 1 MEDICAL PARK BLVD
    SUITE 450W
    BRISTOL, TN
    ZIP 37620
  • Phone: (423) 968-3713

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NPI Details

DRS. GREEN, P.C. is an internal medicine in Bristol, TN. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DRS. GREEN, P.C. NPI is 1669486973. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 MEDICAL PARK BLVD
SUITE 450W
BRISTOL, TN
ZIP 37620-430
Phone: (423) 968-3713
Fax: (423) 968-7352

The provider's authorized official is Donna T. Ostermeyer .
The authorized official title is Office Manager and has the following contact phone number (423) 764-1084.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 6/26/2012.

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
1207RN0300XInternal MedicineNephrology034106TENNESSEENo
2207R00000XInternal Medicine011243TENNESSEENo
3207R00000XInternal Medicine038379TENNESSEENo
4207R00000XInternal Medicine023958TENNESSEENo
5207RN0300XInternal MedicineNephrology015559TENNESSEENo
6207R00000XInternal Medicine009980TENNESSEEYes

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
1B03658MEDICARE UPINTENNESSEE
23896190MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEDR. JEAN M. MANCINI
33037796MEDICAIDTENNESSEE
43033397MEDICAIDTENNESSEE
5A97474MEDICARE UPINTENNESSEE
63011095MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEDR. DOUGLASS W. GREEN
7B00447MEDICARE UPINTENNESSEE
8F73307MEDICARE UPINTENNESSEE
93080672MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEDR. KELLEY HARRIS
103104412MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEDR. THOMAS W. GREEN, JR.
114017031MEDICAIDTENNESSEE
123151325MEDICAIDTENNESSEE
133037795MEDICAIDTENNESSEE
14F84479MEDICARE UPINTENNESSEE
15I15651MEDICARE UPINTENNESSEE
163174372MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEDR, JOHN A. GREEN
174091342MEDICAIDTENNESSEE
183857102MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEDR. ELVIRA LORIA

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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