Bruce W Johnson in Ooltewah - Family Medicine
Bruce W Johnson - NPI 1619954575
Bruce W Johnson is a Family Medicine in Ooltewah, Tennessee. Bruce W Johnson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bruce W Johnson is 1619954575. The last update date is 2010-06-02.
Bruce W Johnson's current location address is 6401 Mountain View Road, Ooltewah, Tennessee. You can contact this provider via phone number 4234955951 and fax number 4234955999. The mailing address for Bruce W Johnson is 6401 Mountain View Road, Ooltewah, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce W Johnson |
|---|---|
| Address | 6401 Mountain View Road, Ooltewah, Tennessee |
| Phone Number | 4234955951 |
| Fax Number | 4234955999 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1619954575 |
|---|---|
| Provider Enumeration Date | 2005-12-30 |
| Last Updated Date | 2010-06-02 |
Provider Mailing Address Detail
| Address | 6401 Mountain View Road |
|---|---|
| City | Ooltewah |
| State | Tennessee (TN) |
| Post Code | 373636685 |
| Phone Number | 4234955951 |
| Fax Number | 4234955999 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 28377 |
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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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What is the unique identification code assigned to Bruce W Johnson by the Centers for Medicare & Medicaid Services?
The Bruce W Johnson has been issued the NPI (National Provider Identifier) 1619954575. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Bruce W Johnson is geographically located?
The Bruce W Johnson is physically situated at the following location: 6401 Mountain View Road, Ooltewah, TN, 373636685.
What is the Bruce W Johnson's area of specialization and corresponding taxonomy classification?
The Bruce W Johnson's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1619954575 to Bruce W Johnson?
The Centers for Medicare & Medicaid Services assigned the 1619954575 to Bruce W Johnson on 2005-12-30.
As of what date was the information regarding Bruce W Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bruce W Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-06-02.
NPI Number: 1376546309
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