Patrick Green MD PLLC
NPI 1518256650 · Primary Care Clinic/Center · Tooele, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Patrick Green MD PLLC is a Primary Care Clinic/Center organization in Tooele, UT (NPI 1518256650).
Provider details
- NPI number
- 1518256650
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Patrick Green, Owner(801) 792-7335
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Bonneville Family Practice
Registry dates
- Enumerated
- 2011-03-29
- Last updated
- 2024-12-27
- Certified
- 2024-12-27
Frequently asked questions
- What is Patrick Green MD PLLC's NPI number?
- Patrick Green MD PLLC's National Provider Identifier (NPI) is 1518256650, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Patrick Green MD PLLC?
- Patrick Green MD PLLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Patrick Green MD PLLC located?
- Patrick Green MD PLLC's practice location on file with NPPES is 134 W 1180 N Suite # 5, Tooele, UT 84074.
- What is Patrick Green MD PLLC's phone number?
- The practice phone number listed in the NPPES registry for Patrick Green MD PLLC is (435) 248-0333.
- Does Patrick Green MD PLLC accept Medicare?
- Patrick Green MD PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Patrick Green MD PLLC?
- The authorized official listed on Patrick Green MD PLLC's NPPES record is Patrick Green, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Patrick Green MD PLLC's NPI active?
- Yes — Patrick Green MD PLLC's NPI (1518256650) is active in the NPPES registry as of the last update on 2024-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.