| Dr Brandon Green, DO | |
|
410 N State Of Franklin Rd, Suite 130, Johnson City, TN 37604-6971 | |
| (423) 431-2477 | |
| Not Available |
| Full Name | Dr Brandon Green |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Pediatric Orthopaedic Surgery |
| Location | 410 N State Of Franklin Rd, Johnson City, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275867715 | NPI | - | NPPES |
| Entity Name | Blue Ridge Medical Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brandon Green, DO 36 Sanctuary Ct, Johnson City, TN 37615-4191 Ph: (423) 444-5047 | Dr Brandon Green, DO 410 N State Of Franklin Rd, Suite 130, Johnson City, TN 37604-6971 Ph: (423) 431-2477 |
Richard W Duncan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2410 Susannah St, Johnson City, TN 37601 Phone: 423-282-9011 Fax: 423-282-0035 |
Timothy Douglas Jenkins, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2410 Susannah Street, Johnson City, TN 37601 Phone: 423-282-9011 Fax: 423-282-0035 |
Dr. David R Hardin, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 111 Pine Ct, Johnson City, TN 37601 Phone: 423-434-0014 Fax: 423-434-0014 |
Eric Scott Taris, DO Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 3 Professional Park Dr Ste 21, Johnson City, TN 37604 Phone: 423-434-6300 Fax: 423-434-6312 |
Dr. Jeffrey Alan Marchessault, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 410 N State Of Franklin Rd Ste 140, Johnson City, TN 37604 Phone: 423-431-2460 Fax: 423-431-2456 |
Dr. Henry J. Williams, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3 Professional Park Dr, Suite 21, Johnson City, TN 37604 Phone: 423-979-3333 Fax: 423-926-6713 |
Dr. Thomas L Huddleston, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3 Professional Park Dr, Suite 21, Johnson City, TN 37604 Phone: 423-434-6300 Fax: 423-434-6312 |