Bradley Alan Greene
Facial Plastic Surgeon
3130 Alpine Rd Suite 195
Portola Valley
, California 94028-7549
Bradley Alan Greene
Facial Plastic Surgeon
3130 Alpine Rd Suite 195
Portola Valley
, California 94028-7549
(650) 529-0929
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Bradley Alan Greene
- 3130 Alpine Rd Suite 195
- Portola Valley, CA
- Zip : 94028-7549
- Fax : (650) 529-0929
- Phone : (650) 851-0155
Second Address
- Bradley Alan Greene
- 3130 Alpine Rd Suite 195
- Portola Valley, CA
- Zip : 94028-7549
- Fax : (650) 529-0929
- Phone : (650) 851-0155
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | A74002 | CA |
National Provider Identifier
| NPI | 1811098379 |
|---|---|
| Provider Name | Bradley Alan Greene |
| First Address | Portola Valley, CA 94028-7549 |
| Second Address | Portola Valley, CA 94028-7549 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/09/2006 |
| Last Update Date | 08/07/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.