Johnny Bert Green MD

  • NPI 1386612414
According to our database, the NPI number for Johnny Bert Green MD is 1386612414 and activated since 18 years ago. Johnny Bert Green MD is an individual provider who specializes in Surgery, and the primary practice location is 1072 N Liberty Street, Boise, ID 83704. You can also contact Johnny Bert Green MD via telephone number is (208) 302-2400. Provider NPI information was last updated on 11/15/2016.

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Overview of Johnny Bert Green MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 03/14/2006
  • Last updated: 11/15/2016

Primary Scrop of Practice

  • Taxonomy Code: 208600000X
  • Specialty: Surgery
  • License Number: 35113
  • License State: WA

Provider Mailing Address

  • Address: 3340 E Goldstone Way
    Meridian, ID 83642
  • Phone: 208-302-2400
  • Fax: 208-302-2455

Provider Practice Location

  • Address: 1072 N Liberty Street
    Suite 201
    Boise, ID 83704
  • Phone: 208-302-2400
  • Fax: 208-302-2455

Scope of Practice

  • Taxonomy Code: 208600000X
  • Specialty: Surgery
  • License Number: 35113
  • License State: WA
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 1386612414
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: ID
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Johnny Bert Green MD?
  • A: The npi number for Johnny Bert Green MD is 1386612414.
  • Q: What are Johnny Bert Green MD's specialties?
  • A: Johnny Bert Green MD's specialties are Surgery and different specialities.
  • Q: What is the medical license for Johnny Bert Green MD?
  • A: The medical license number for Johnny Bert Green MD is 35113 and issued in WA in USA.
  • Q: Where is Johnny Bert Green MD practice location?
  • A: Johnny Bert Green MD is practicing at 1072 N Liberty Street, Boise, ID 83704.
  • Q: How to contact Johnny Bert Green MD?
  • A: You can contact Johnny Bert Green MD via 208-302-2400.
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