The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Beaumont and Texas

5 active clinicians are listed under Driver with a practice address in Beaumont, TX (496 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-02

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

License # reported to NPPES TX 19195530

A person employed to operate a motor vehicle as a carrier of persons or property.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

📍

Updated Business Mailing Address June 02, 2025

Registered at 5550 FOLSOM DR APT 221, BEAUMONT, TX 777067252 (Tel: 4093337069)

✅

NPI Profile Active July 17, 2019

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) July 17, 2019

Registered at 2360 S 8TH ST, BEAUMONT, TX 777016401 (Tel: 4092392779)

📍

Business Mailing Address (Initial Record) July 17, 2019

Registered at 2360 S 8TH ST, BEAUMONT, TX 777016401 (Tel: 4092392779)

👤

Provider Name / Credentials (Initial Record) July 17, 2019

Recorded as CLARENCE GREEN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2019

Driver (license number reported to NPPES: TX 19195530)

🟢

Initial NPI Registration & Enumeration July 17, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669025789

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 17, 2019

Last Update: June 02, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5550 Folsom Dr Apt 221

Beaumont, TX 777067252

Phone: 4093337069

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.