WILLIAM FREDERICK GREEN MD NPI 1992711600

NPI Information

  • NPI: 1992711600
  • Provider Name: WILLIAM FREDERICK GREEN, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 1505 STANFORD DR NE
    ALBUQUERQUE, NM
    ZIP 87106
  • Phone: (505) 255-1108

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NPI Details

William Frederick Green, MD is a family medicine in Albuquerque, NM. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. William Frederick Green, MD NPI is 1992711600. 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:

1505 STANFORD DR NE
ALBUQUERQUE, NM
ZIP 87106-727
Phone: (505) 255-1108

The enumeration date for this NPI number is 8/1/2006 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
1207Q00000XFamily Medicine81-56NEW MEXICOYes
2208000000XPediatrics81-56NEW MEXICOX

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
1S5672MEDICAIDNEW MEXICO
2H54822MEDICARE UPINNEW MEXICO

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: 3/30/2025

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