IndividualActive
Brandon Green, DO
NPI 1275867715 · Pediatric Orthopaedic Surgery Physician · Johnson City, TN
Provider details
- NPI number
- 1275867715
- Entity type
- Individual
- Primary specialty
- Pediatric Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 074287 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
410 N State of Franklin Rd
Suite 130
Johnson City, TN 37604-6971
Phone: (423) 431-2477
Approximate (ZIP-level) locationGet directions
Mailing address
36 Sanctuary Ct
Johnson City, TN 37615-4191
Registry dates
- Enumerated
- 2009-10-01
- Last updated
- 2016-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.