IndividualActive
Bruce Green, MD
NPI 1053385716 · Urology Physician · Atlanta, GA
Provider details
- NPI number
- 1053385716
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 016803 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5673 Peachtree Dunwoody Rd Ne
Ste 910
Atlanta, GA 30342-1731
Phone: (404) 255-3822
Fax: (404) 255-0495
Approximate (ZIP-level) locationGet directions
Mailing address
5673 Peachtree Dunwoody Rd Ne
Atlanta, GA 30342-1731
Registry dates
- Enumerated
- 2006-02-17
- Last updated
- 2020-08-31
- Certified
- 2020-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.