IndividualActive
Bradley Greene, MD
NPI 1811098379 · Facial Plastic Surgery Physician · Portola Valley, CA
Provider details
- NPI number
- 1811098379
- Entity type
- Individual
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- A74002 (CA)
Practice location
3130 Alpine Rd
Suite 195
Portola Valley, CA 94028-7549
Phone: (650) 851-0155
Fax: (650) 529-0929
Mailing address
3130 Alpine Rd
Portola Valley, CA 94028-7549
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2013-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.