Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHNNY BERT GREEN, MD
ActiveJOHNNY BERT GREEN, MD is a Colon & Rectal Surgery healthcare provider located in BOISE, Idaho. NPI 1386612414 is currently active in the NPPES registry. Verify at CMS.
Colon & Rectal Surgery · BOISE, ID
Registration Details
- NPI Number
- 1386612414
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 14, 2006 (20.435386104593 yrs)
- Last Updated
- Nov 15, 2016
- Licenses
-
35113 (WA)35113 (WA)M-11186 (ID)
Practice Information
- Address
-
1072 N LIBERTY STREETSUITE 201BOISE, ID, 83704Browse ID providers · Browse ZIP 83704
- Phone
- 2083022400
- Fax
- 2083022455
- Primary Specialty
-
Colon & Rectal Surgery
208C00000X
- Additional Specialty
- Colon & Rectal Surgery
- Additional Specialty
- Colon & Rectal Surgery
Other Colon & Rectal Surgery Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. J. CHRIS CHRISTOPHER KANTARIAN | MD | 1699774042 |
| MR. JAMES A OLSON | MD | 1912992249 |
| SHAUNA WILLIAMS | M.D. | 1821150285 |
| ANTHONY DINALLO | — | 1205193760 |
| MS. ERIN FENNERN | — | 1295175008 |
| SHEEV INDRAVADAN DATTANI | MD | 1760903363 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.