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T G GREEN DO SC
NPI 1619279346
Family Medicine in Brookfield, WI

Active since December 01, 2010
13760 W CAPITOL DR, BROOKFIELD, WI 53005(262) 781-1530(262) 781-7941 Get Directions Write a Review

NPPES record last updated: December 1, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About T G Green Do Sc NPPES

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

T G GREEN DO SC (NPI 1619279346) is a healthcare organization registered as a family medicine in Brookfield, Wisconsin and active in the NPI registry since December 2010. The organization lists Theodore G Green, Physician, as its authorized official.

NPPES Registry Identity

NPI1619279346
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameT G GREEN DO SC
Location Address13760 W CAPITOL DRBrookfield, WI 53005-2407
Mailing Address13760 W Capitol DrBrookfield, WI 53005-2407 · (262) 781-1530 · Fax (262) 781-7941
Phone(262) 781-1530
Fax(262) 781-7941
Organization SubpartNo
Authorized OfficialTheodore G GreenPhysician · (262) 781-1530
Enumeration DateDecember 1, 2010
✔ NPI 1619279346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 16986
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13760 W CAPITOL DR, Brookfield, WI 53005
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Other Identifiers 3

Medicare UPINB53221WI
Medicaid30039500WI
Medicare PIN000080160WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. JESSE VAN BOMMEL MD
Anesthesiology
13760 W CAPITOL DR
BROOKFIELD, WI 53005
Waukesha County (262) 794-3140

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 T G Green Do Sc's NPI number?

The NPI number for T G Green Do Sc is 1619279346. It was assigned to this organization in the NPPES registry on December 1, 2010.

Where is T G Green Do Sc located?

T G Green Do Sc is located at 13760 W Capitol Dr, Brookfield, WI 53005. The listed phone number is (262) 781-1530.

What is T G Green Do Sc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for T G Green Do Sc was last updated on December 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.