BRIAN CHRISTOPHER JOHNSON PA-C NPI 1093727653

NPI Information

NPI: 1093727653
Provider Name: BRIAN CHRISTOPHER JOHNSON, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
109 MONTGOMERY DR
ANDERSON, SC
ZIP 29621
Phone: (864) 224-5700
Get Directions

Brian Christopher Johnson, PA-C is a surgical physician assistant in Anderson, SC. Brian Christopher Johnson, PA-C NPI is 1093727653. 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:

109 MONTGOMERY DR
ANDERSON, SC
ZIP 29621-333
Phone: (864) 224-5700
Fax: (864) 226-0680

The NPI 1093727653 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 8/12/2006 and was last updated on 4/19/2016.

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	363AS0400X	Physician Assistant	Surgical	961	SOUTH CAROLINA	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	AA06504306	MEDICARE ID-TYPE UNSPECIFIED	SOUTH CAROLINA	MEDICARE NUMBER
2	961	OTHER	SOUTH CAROLINA	STATE LICENSE NUMBER
3	2251PA	MEDICAID	SOUTH CAROLINA
4	P0161435	OTHER	SOUTH CAROLINA	RR MEDICARE
5	Q25893	MEDICARE UPIN	SOUTH CAROLINA

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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