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DR. BERT EMIL JOHANSSON MD/PHD NPI 1093886400


NPI Information

NPI: 1093886400
Provider Name: DR. BERT EMIL JOHANSSON, MD/PHD
Classification: Pediatrics - 2080P0203X
Entity Type: Individual

Specialization: Pediatric Critical Care Medicine

PECOS Registration: Yes

Address:
4800 ALBERTA DR
DEPT PEDIATRICS; TEXAS TECH HEALTH SCIENCES CTR
EL PASO, TX
ZIP 79905
Phone: (915) 545-6921
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DR. Bert Emil Johansson, MD/PHD is a pediatric critical care medicine pediatrics in El Paso, TX. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. DR. Bert Emil Johansson, MD/PHD NPI is 1093886400. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4800 ALBERTA DR
DEPT PEDIATRICS; TEXAS TECH HEALTH SCIENCES CTR
EL PASO, TX
ZIP 79905
Phone: (915) 545-6921
Fax: (915) 545-6975

The NPI 1093886400 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/10/2006 and was last updated on 10/4/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207PP0204XEmergency MedicinePediatric Emergency Medicine211107NEW YORKNo
2208000000XPediatrics211107NEW YORKNo
32080P0203XPediatricsPediatric Critical Care Medicine211107NEW YORKNo
4208000000XPediatricsN4497TEXASNo
5207PP0204XEmergency MedicinePediatric Emergency MedicineN4497TEXASNo
62080P0203XPediatricsPediatric Critical Care MedicineN4497TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.