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DR. BRANDON GREEN DO
NPI 1275867715
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Johnson City, TN

Active since October 01, 2009PECOS Enrolled
410 N STATE OF FRANKLIN RD, SUITE 130, JOHNSON CITY, TN 37604(423) 431-2477 Get Directions Write a Review

NPPES record last updated: September 23, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Brandon Green Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRANDON GREEN DO (NPI 1275867715) is an individual pediatric orthopaedic surgery provider in Johnson City, Tennessee, licensed in Georgia (074287) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275867715
Entity TypeIndividualMale
Primary Taxonomy207XP3100X
Provider Legal NameDR. BRANDON GREENCredential: DO
Location Address410 N STATE OF FRANKLIN RD, SUITE 130Johnson City, TN 37604-6971
Mailing Address36 Sanctuary CtJohnson City, TN 37615-4191 · (423) 444-5047
Phone(423) 431-2477
Sole ProprietorNo
Enumeration DateOctober 1, 2009
Last NPPES UpdateSeptember 23, 2016
✔ NPI 1275867715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
Licenses✔ Licensed in GA · 074287✔ Licensed in TN · DO2176
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
410 N STATE OF FRANKLIN RD, Johnson City, TN 37604
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brandon Green Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Brandon Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blue Ridge Medical Management Corporation
Same address
Trauma Surgery
410 N STATE OF FRANKLIN RD, SUITE 130
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 496 clinicians in this Medicare group
NPI 1093016024 (423) 431-2477

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims13 services$15.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Neurological Surgery
410 N STATE OF FRANKLIN RD, SUITE 120
JOHNSON CITY, TN 37604
Washington County (423) 431-2350
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Internal Medicine
410 N STATE OF FRANKLIN RD, SUITE 135B
JOHNSON CITY, TN 37604
Washington County (423) 431-4866
DR. MELISSA A POWELL M.D.
Surgery (Surgical Critical Care)
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Surgery (Trauma Surgery)
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
RAYMOND SHANE SMITH PA-C
Physician Assistant
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
MR. TED ALLAN WHITE ANP-BC
Nurse Practitioner (Adult Health)
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
ANITA DIANE COBBLE MD
Surgery
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Washington County (423) 431-2477
MR. TANZID SHAMS M.D.
Psychiatry & Neurology (Neurology)
410 N STATE OF FRANKLIN RD, SUITE 135
JOHNSON CITY, TN 37604
Washington County (423) 431-2350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Green's NPI number?

The NPI number for Brandon Green is 1275867715. It was assigned to this individual provider in the NPPES registry on October 1, 2009.

Where is Brandon Green located?

Brandon Green practices at 410 N State Of Franklin Rd Suite 130, Johnson City, TN 37604. The listed phone number is (423) 431-2477.

What is Brandon Green's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is Brandon Green enrolled in Medicare?

Yes. Brandon Green is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brandon Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Green reassigns Medicare benefits to Blue Ridge Medical Management Corporation (Johnson City, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brandon Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brandon Green accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Brandon Green as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brandon Green was last updated on September 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.