1. Home
  2. Directory
  3. Connecticut
  4. Groton
  5. Military Health Care Provider
  6. NPI Profile

BRYAR TAYLOR GREEN
NPI 1669155412
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Active since August 09, 2023
159 TROUT AVE, GROTON, CT 06340(860) 694-2876 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bryar Taylor Green NPPES

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

BRYAR TAYLOR GREEN (NPI 1669155412) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1669155412
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameBRYAR TAYLOR GREEN
Location Address159 TROUT AVEGroton, CT 06340
Mailing Address132 North St Apt 69Groton, CT 06340-3764 · (203) 892-5527
Phone(860) 694-2876
Sole ProprietorNo
Enumeration DateAugust 9, 2023
NPPES CertifiedAugust 7, 2023
✔ NPI 1669155412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
159 TROUT AVE, Groton, CT 06340
Open in Google Maps ↗

Other Providers at the Same Location NPPES 6

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

ANDREW TRISTAN BELL IDC
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
NEW LONDON, CT 06340
Southeastern Connecticut Planning Region (760) 406-3791
AUSTIN BEAUDEAN LENZI
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 694-6450
RUSSELL JENNINGS RIDER IDC
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 694-6464
ADAM S GREEN
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
GROTON, CT 06340
Southeastern Connecticut Planning Region (661) 203-1325
MR. GEORGE CHARLES FRICKE
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
GROTON, CT 06340
Southeastern Connecticut Planning Region (904) 673-1037
ANTHONY J GERVASI IDC
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
GROTON, CT 06340
Southeastern Connecticut Planning Region (860) 694-6450

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 Bryar Green's NPI number?

The NPI number for Bryar Green is 1669155412. It was assigned to this individual provider in the NPPES registry on August 9, 2023.

Where is Bryar Green located?

Bryar Green practices at 159 Trout Ave, Groton, CT 06340. The listed phone number is (860) 694-2876.

What is Bryar Green's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Bryar Green was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.