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DR. LANDEN BRADLEY GREEN DO
NPI 1841851185
Family Medicine in Redlands, CA

Active since June 26, 2019Opted out of Medicare · through Aug 18, 2026
1467 FORD ST STE 201, REDLANDS, CA 92373(909) 206-2612(909) 488-7373 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Landen Bradley Green Do NPPES

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

DR. LANDEN BRADLEY GREEN DO (NPI 1841851185) is an individual family medicine provider in Redlands, California, licensed in California (20A20171) and active in the NPI registry since June 2019. He has opted out of Medicare through August 18, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1841851185
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LANDEN BRADLEY GREENCredential: DO
Location Address1467 FORD ST STE 201Redlands, CA 92373-3912
Mailing Address30 N 4th StLebanon, PA 17046-5606
Phone(909) 206-2612
Fax(909) 488-7373
Sole ProprietorNo
Enumeration DateJune 26, 2019
Last NPPES UpdateJune 7, 2024
NPPES CertifiedJune 7, 2024
✔ NPI 1841851185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A20171
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.
1467 FORD ST STE 201, Redlands, CA 92373
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Landen Bradley Green Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 18, 2022 through August 18, 2026.

Opt-Out Effective DateAugust 18, 2022
Opt-Out In Effect ThroughAugust 18, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92373 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

SALMA MOHAMMADI GREEN DO
Family Medicine
1467 FORD ST STE 201
REDLANDS, CA 92373
San Bernardino County (909) 206-2612
STATELY URGENT CARE PC
Clinic/Center (Urgent Care)
1467 FORD ST STE 201
REDLANDS, CA 92373
San Bernardino County (909) 712-0414

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 Landen Green's NPI number?

The NPI number for Landen Green is 1841851185. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Where is Landen Green located?

Landen Green practices at 1467 Ford St Ste 201, Redlands, CA 92373. The listed phone number is (909) 206-2612.

What is Landen Green's specialty?

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

Is Landen Green enrolled in Medicare?

No. Landen Green has opted out of Medicare through August 18, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Landen Green was last updated on June 7, 2024. 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.