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BRUCE EVAN JOHNSON MD NPI 1578523866


NPI Information

NPI: 1578523866
Provider Name: BRUCE EVAN JOHNSON, MD
Classification: Internal Medicine - 207RX0202X
Entity Type: Individual

Specialization: Medical Oncology

PECOS Registration: Yes

Address:
450 BROOKLINE AVE
DANA-FARBER CANCER INSTITUTE
BOSTON, MA
ZIP 02215
Phone: (617) 632-4790
Get Directions

Bruce Evan Johnson, MD is a medical oncology internal medicine in Boston, MA with 45 years of experience. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. Bruce Evan Johnson, MD NPI is 1578523866. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA HOMEOPATHIC MEDICINE - NLG
Graduation Year:1979

The provider's business location address is:

450 BROOKLINE AVE
DANA-FARBER CANCER INSTITUTE
BOSTON, MA
ZIP 02215-418
Phone: (617) 632-4790
Fax: (617) 632-5786

The NPI 1578523866 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 3/23/2006 and was last updated on 12/7/2011.


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
1207RX0202XInternal MedicineMedical Oncology158661MASSACHUSETTSYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12172993OTHERAETNA US HEALTHCARE
23000439OTHERUNITED HEALTH CARE
33185516OTHERMASSHEALTH MA MEDICAID
4A29168MEDICARE ID-TYPE UNSPECIFIED
5G87016MEDICARE UPIN
6158661OTHERTUFTS
768815DFOTHERHPHC DFCI ONLY
845879OTHERFALLON COMMUNITY HEALTH P
9J19701OTHERMASSACHUSETTSBCBS INDEMITY BC ELECT HM
105876473OTHERCIGNA

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.