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Contact Information

BRANDON C GREEN, MD
3000 N TRIUMPH BLVD STE 110
LEHI, UT84043-4999
 Phone: 385-345-3555
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2084P2900X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for BRANDON C GREEN · (Male)

NPI # 1184864563
Status Active
Credentials MD
Entity Individual
Enumeration date 02/25/2009
Last updated 07/13/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 9374436-1205
  • UT Medicaid 3004771
Hospital affiliation(s)
  • AMERICAN FORK HOSPITAL - (Acute Care)
    170 NORTH 1100 EAST
    AMERICAN FORK, UT 84003
  • JORDAN VALLEY MEDICAL CENTER - (Acute Care)
    3580 WEST 9000 SOUTH
    WEST JORDAN, UT 84088
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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