JOHNNY BERT GREEN (MD) – Colon & Rectal Surgery Physician, NPI 1386612414

JOHNNY BERT GREEN (MD) is a healthcare provider. based in Meridian, Idaho. specializing in Colon & Rectal Surgery Physician. They hold the professional credentials MD. They hold a License No. 35113 (WA). The NPI Number for JOHNNY BERT GREEN (MD) is 1386612414

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
JOHNNY BERT GREEN (MD)
NPI
1386612414
Phone
(208) 302-2400
Address
3340 E GOLDSTONE WAY
Enumeration Date
14 March 2006
Last Update Date
15 November 2016

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1980 (46 years ago)
PAC ID
6901946961
Group Practice PAC ID
3476462359
Professional Enrollment ID
I20110324000903
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for JOHNNY BERT GREEN (MD)

  • 3340 E GOLDSTONE WAY

    MERIDIAN, ID 836421026

    Phone: (208) 302-2400

    Fax: (208) 302-2455

    Type: Mailing

  • North Liberty Street, Boise Junction, Boise, Ada County, Idaho, 83704, United States

    SUITE 201

    BOISE, ID 83704

    Phone: (208) 302-2400

    Fax: (208) 302-2455

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83642)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476462359View full group profile

Reviews

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Frequently asked questions

How do payers reference JOHNNY BERT GREEN (MD)?
For JOHNNY BERT GREEN (MD), use NPI 1386612414 as the unique 10-digit identifier.
Is JOHNNY BERT GREEN (MD) still an active registrant?
JOHNNY BERT GREEN (MD) carries an active NPI according to the public dataset.
What area of care is associated with JOHNNY BERT GREEN (MD)?
JOHNNY BERT GREEN (MD)'s record emphasizes Colon & Rectal Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JOHNNY BERT GREEN (MD)?
Directory geography for JOHNNY BERT GREEN (MD) centers on Meridian, Idaho.
Can I trust this NPI listing for JOHNNY BERT GREEN (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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