IndividualActive
Brandon Green
NPI 1851665244 · Prosthetic/Orthotic Supplier · Lincoln, NE
Provider details
- NPI number
- 1851665244
- Entity type
- Individual
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Sex
- Male
- Sole proprietor
- Yes
- License
- CPO03152
Specialties & taxonomies
Suppliers
Practice location
2120 S 56th St
Suite 204
Lincoln, NE 68506-2118
Phone: (308) 627-3198
Approximate (ZIP-level) locationGet directions
Mailing address
2120 S 56th St
Lincoln, NE 68506-2118
Registry dates
- Enumerated
- 2012-03-01
- Last updated
- 2012-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.