Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Glen A. Green, MD

Individual provider Neonatal-Perinatal Medicine Physician · NPI 1477505907

Glen A. Green, MD is a Pediatric Medicine in Norfolk, Virginia. Qualified in 1983, 43 years ago. Practices with Childrens Specialty Group PLLC, a 84-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
43
Licensed in
VA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

601 Childrens Ln
Norfolk, VA 23507-1910
Phone: (757) 668-7456
Fax: (757) 668-9255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 0101039300 (VA)
Pediatrics Physician Taxonomy 208000000X · Licence 0101039300 (VA)
Anesthesiology Physician Taxonomy 207L00000X · Licence 0101039300 (VA)

Record details

NPI number1477505907
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESDecember 9, 2009
Mailing addressPo Box 79137, Baltimore, MD 21279-0137

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Childrens Specialty Group Pllc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Norfolk