MR. BRENDAN MICHAEL JOHNSTON FNP-BC NPI 1104181171

NPI Information

NPI: 1104181171
Provider Name: MR. BRENDAN MICHAEL JOHNSTON, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: LAHEY CLINIC INC

PECOS Registration: Yes

Address:
41 MALL RD
LAHEY CLINIC
BURLINGTON, MA
ZIP 01805
Phone: (781) 744-8000
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MR. Brendan Michael Johnston, FNP-BC is a family nurse practitioner in Burlington, MA with 13 years of experience. MR. Brendan Michael Johnston, FNP-BC NPI is 1104181171. 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:

41 MALL RD
LAHEY CLINIC
BURLINGTON, MA
ZIP 01805-001
Phone: (781) 744-8000

The NPI 1104181171 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 7/5/2012 and was last updated on 12/18/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN2259284	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	110093601A	MEDICAID	MASSACHUSETTS
2	002838601	MEDICARE PIN	MASSACHUSETTS

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: 11/14/2023

NPI Synchronization or Removal

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