Bradley S Johnson in Maplewood - Family Medicine
Bradley S Johnson - NPI 1760411235
Bradley S Johnson is a Family Medicine in Maplewood, Minnesota. Bradley S Johnson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bradley S Johnson is 1760411235. The last update date is 2011-12-12.
Bradley S Johnson's current location address is 1850 Beam Ave, Maplewood, Minnesota. You can contact this provider via phone number 6512419500. The mailing address for Bradley S Johnson is 1850 Beam Ave, Maplewood, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley S Johnson |
|---|---|
| Address | 1850 Beam Ave, Maplewood, Minnesota |
| Phone Number | 6512419500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1760411235 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2011-12-12 |
Provider Mailing Address Detail
| Address | 1850 Beam Ave |
|---|---|
| City | Maplewood |
| State | Minnesota (MN) |
| Post Code | 5510911620 |
| Phone Number | 6512419500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 27882 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 230568200 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Bradley S Johnson by the Centers for Medicare & Medicaid Services (CMS)?
The Bradley S Johnson has been assigned the NPI (National Provider Identifier) 1760411235. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Bradley S Johnson?
The Bradley S Johnson is physically situated at 1850 Beam Ave, in the city of Maplewood, state of MN, with the postal code 5510911620.
What is Bradley S Johnson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bradley S Johnson is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did Bradley S Johnson receive its 1760411235 assignment from the Centers for Medicare & Medicaid Services?
The Bradley S Johnson was assigned its 1760411235 on 2006-06-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Bradley S Johnson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bradley S Johnson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-12-12.