Bradley Todd Johnson

Physician Assistant · Durango, CO

Individual Active NPI

NPI number 1710167655

Practice location

1010 Three Springs Blvd
Durango, CO 81301-8296
Phone
(303) 306-7783
Fax
(303) 306-7753

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NPI record

NPI
1710167655
Entity type
Individual (Type 1)
Enumeration date
November 8, 2007
Last updated
November 3, 2020
Certified
November 3, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 3202 CO
Physician Assistant 363A00000X 956 WI

Mailing address

PO Box 17752
Denver, CO 80217-0752
Phone
(303) 306-7783
Fax
(303) 306-7753

About Bradley Johnson

Bradley Todd Johnson is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1010 Three Springs Blvd, Durango, CO 81301-8296. The NPI number 1710167655 was assigned on November 8, 2007 and the record was last updated on November 3, 2020.

Bradley Johnson lists 2 licenses in the registry: #3202 (CO) for Physician Assistant; #956 (WI) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bradley Todd Johnson?

The NPI number is 1710167655.

What is the phone number of Bradley Johnson?

The phone number listed for the practice location is (303) 306-7783.

Where is Bradley Johnson located?

1010 Three Springs Blvd, Durango, CO 81301-8296.

What is the taxonomy code for Bradley Johnson?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

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.

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