Brad Gordon Johnson in Cedar Rapids - General Practice
Brad Gordon Johnson - NPI 1851555148
Brad Gordon Johnson is a General Practice in Cedar Rapids, Iowa. Brad Gordon Johnson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Brad Gordon Johnson is 1851555148. The last update date is 2016-04-18.
Brad Gordon Johnson's current location address is 2120 Westdale Dr Sw, Cedar Rapids, Iowa. You can contact this provider via phone number 3193967362. The mailing address for Brad Gordon Johnson is 2120 Westdale Dr Sw, Cedar Rapids, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brad Gordon Johnson |
|---|---|
| Address | 2120 Westdale Dr Sw, Cedar Rapids, Iowa |
| Phone Number | 3193967362 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1851555148 |
|---|---|
| Provider Enumeration Date | 2008-07-15 |
| Last Updated Date | 2016-04-18 |
Provider Mailing Address Detail
| Address | 2120 Westdale Dr Sw |
|---|---|
| City | Cedar Rapids |
| State | Iowa (IA) |
| Post Code | 524046318 |
| Phone Number | 3193967362 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 8574 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the Brad Gordon Johnson's 1851555148?
The Brad Gordon Johnson's NPI (National Provider Identifier) Number is 1851555148. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Brad Gordon Johnson is geographically located?
The Brad Gordon Johnson is physically situated at the following location: 2120 Westdale Dr Sw, Cedar Rapids, IA, 524046318.
What is the Brad Gordon Johnson's area of specialization and corresponding taxonomy classification?
The Brad Gordon Johnson's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date was the 1851555148 assigned to Brad Gordon Johnson?
The Brad Gordon Johnson was issued its 1851555148 on 2008-07-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Brad Gordon Johnson's information last updated?
The Brad Gordon Johnson's information was last updated on 2016-04-18.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY