Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRENTON MICHAEL GREEN, PA-C
ActivePhysician Assistant · BISMARCK, ND
Registration Details
- NPI Number
- 1538769633
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 28, 2020 (5.4935514582785 yrs)
- Last Updated
- Oct 28, 2020
- License
-
PAC0858 (ND)
Practice Information
- Address
-
900 E BROADWAY AVEBISMARCK, ND, 585014520Browse ND providers · Browse ZIP 58501
- Phone
- 7015307000
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BISMARCK, ND
| Name | Credential | NPI |
|---|---|---|
| STACEY LEE KONZAK | PA C | 1962486969 |
| DENISE EILEEN FRIED | PA-C | 1740254739 |
| STACIE L MORITZ | PA-C | 1124075619 |
| ANNE M EARSLEY | PA-C | 1679518484 |
| MANDI L BRAUN | PA-C | 1407891112 |
| TRACY L VEARRIER | PA-C | 1043255755 |
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.