DR. BERT EMIL JOHANSSON MD/PHD NPI 1093886400

NPI Information

NPI: 1093886400
Provider Name: DR. BERT EMIL JOHANSSON, MD/PHD
Classification: Pediatrics - 208000000X
Entity Type: Individual
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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NPI Details

DR. Bert Emil Johansson, MD/PHD is a pediatrics in El Paso, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. 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 11/16/2024.

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	208000000X	Pediatrics		211107	NEW YORK	No
2	2080P0203X	Pediatrics	Pediatric Critical Care Medicine	211107	NEW YORK	No
3	2080P0203X	Pediatrics	Pediatric Critical Care Medicine	N4497	TEXAS	No
4	208000000X	Pediatrics		N4497	TEXAS	Yes
5	207PP0204X	Emergency Medicine	Pediatric Emergency Medicine	211107	NEW YORK	No
6	207PP0204X	Emergency Medicine	Pediatric Emergency Medicine	N4497	TEXAS	No

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: 11/21/2025

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