Dr Bradley Andrew Green, PHD - Psychologist in Tyler, TX

Dr Bradley Andrew Green, PHD is a Psychologist - Clinical based in Tyler, Texas. Dr Bradley Andrew Green is licensed to practice in Texas (license number 39019) and his current practice location is 618 Wellington St, Tyler, Texas. He can be reached at his office (for appointments etc.) via phone at (601) 297-6591.

NPI number for Dr Bradley Andrew Green is 1518780923 and his current mailing address is 618 Wellington St, Tyler, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518780923.

Contact Information

Dr Bradley Andrew Green, PHD
618 Wellington St,
Tyler, TX 75703-4663
(601) 297-6591
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Bradley Andrew Green
GenderMale
SpecialityPsychologist - Clinical
Location618 Wellington St, Tyler, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1518780923
  • Provider Enumeration Date: 11/04/2024
  • Last Update Date: 11/04/2024

Medical Identifiers

Medical identifiers for Dr Bradley Andrew Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518780923NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 39019 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bradley Andrew Green is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Bradley Andrew Green, PHD
618 Wellington St,
Tyler, TX 75703-4663

Ph: (601) 297-6591
Dr Bradley Andrew Green, PHD
618 Wellington St,
Tyler, TX 75703-4663

Ph: (601) 297-6591

Reviews and Comments


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