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DR. BRIAN L. JOHNSON M.D. NPI 1790781896


NPI Information

NPI: 1790781896
Provider Name: DR. BRIAN L. JOHNSON, M.D.
Classification: Internal Medicine - 207RI0200X
Entity Type: Individual

Specialization: Infectious Disease

PECOS Registration: Yes

Address:
1241 W STADIUM BLVD
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 635-5264
Get Directions

DR. Brian L. Johnson, M.D. is an infectious disease internal medicine in Jefferson City, MO. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. DR. Brian L. Johnson, M.D. NPI is 1790781896. 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:

1241 W STADIUM BLVD
JEFFERSON CITY, MO
ZIP 65109-023
Phone: (573) 635-5264
Fax: (573) 761-4351

The NPI 1790781896 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 6/23/2005 and was last updated on 12/23/2014.


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
1207RI0200XInternal MedicineInfectious Disease108712MISSOURIYes

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
1127908OTHERMISSOURIGROUP HEALTH PLAN
21816637OTHERMISSOURIFIRST HEALTH
3P00119749OTHERMISSOURIRAILROAD MEDICARE
49201146OTHERMISSOURIUNITED HEALTHCARE
5H12503MEDICARE UPINMISSOURI
6204961809MEDICAIDMISSOURI
7204961809OTHERMISSOURIMO CARE IND
8A002OTHERMISSOURITRICARE IND
97034216OTHERMISSOURIAETNA
1020433OTHERMISSOURIHEALTHCARE USA IND
11H12503OTHERMISSOURIMERCY
12128687OTHERMISSOURIANTHEM BLUE CROSS BLUE SH
13434227OTHERMISSOURIHEALTHLINK IND
14002013291MEDICARE PINMISSOURI

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.