BRYCE ALLEN GREEN DO
NPI 1457054934
Student in an Organized Health Care Education/Training Program in Lakeland, FL

Q: What is Bryce Green's NPI number?

The NPI number for Bryce Green is 1457054934. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Q: What is Bryce Green's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Bryce Green was last updated on April 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 23, 2023PECOS Enrolled

1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 687-1100 Get Directions Write a Review

NPPES record last updated: April 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2023, Mar 23, 2023 (2 updates tracked since 2023).

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About Bryce Allen Green Do NPPES

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

BRYCE ALLEN GREEN DO (NPI 1457054934) is an individual student in an organized health care education/training program in Lakeland, Florida and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457054934

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBRYCE ALLEN GREENCredential: DO

Location Address1324 LAKELAND HILLS BLVDLakeland, FL 33805-4543

Mailing Address1015 Dorothy LnBillings, MT 59105-2615 · (605) 391-3047

Phone(863) 687-1100

Sole ProprietorNo

Enumeration DateMarch 23, 2023

Last NPPES UpdateApril 2, 20232 updates tracked since enumeration

NPPES CertifiedApril 2, 2023

✔ NPI 1457054934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1324 LAKELAND HILLS BLVD, Lakeland, FL 33805

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryce Allen 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.

Other Providers at the Same Location NPPES 20

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

CHRISTIAN ABREU-RAMIREZ MD

Internal Medicine (Pulmonary Disease)