Bennett M. Johnson, MD
Trauma Surgery Physician · Edmonds, WA
Practice location
21616 76TH Ave W Ste 201aEdmonds, WA 98026-7512
- Phone
- (425) 673-3400
- Fax
- (425) 673-3401
NPI record
- NPI
- 1629481379
- Entity type
- Individual (Type 1)
- Enumeration date
- June 10, 2014
- Last updated
- October 24, 2025
- Certified
- October 24, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Trauma Surgery Physician Primary | 2086S0127X |
MD60864242 | WA |
Mailing address
PO Box 25608Salt Lake City, UT 84125-0608
- Phone
- (206) 320-4476
- Fax
- (206) 568-7043
Other practice locations (1)
- 1321 Colby Ave, Everett, WA 98201-1665 · (425) 261-2000
About Dr. Johnson
Bennett M. Johnson, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Trauma Surgery Physician (code 2086S0127X). The practice location is 21616 76TH Ave W Ste 201a, Edmonds, WA 98026-7512. The NPI number 1629481379 was assigned on June 10, 2014 and the record was last updated on October 24, 2025.
Dr. Johnson lists a license in the registry: #MD60864242 (WA) for Trauma Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Bennett M. Johnson, MD?
The NPI number is 1629481379.
What is the phone number of Dr. Johnson?
The phone number listed for the practice location is (425) 673-3400.
Where is Dr. Johnson located?
21616 76TH Ave W Ste 201a, Edmonds, WA 98026-7512.
What is the taxonomy code for Dr. Johnson?
The primary taxonomy code is 2086S0127X – Trauma Surgery Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.