J KEVIN JOHNSON MD PC NPI 1376659805

NPI Information

  • NPI: 1376659805
  • Provider Name: J KEVIN JOHNSON MD PC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Address: 1600 NORTH GRAND
    SUITE 520
    PUEBLO, CO
    ZIP 81003
  • Phone: (719) 542-3100

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NPI Details

J KEVIN JOHNSON MD PC is an internal medicine in Pueblo, CO. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. J KEVIN JOHNSON MD PC NPI is 1376659805. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1600 NORTH GRAND
SUITE 520
PUEBLO, CO
ZIP 81003
Phone: (719) 542-3100
Fax: (719) 542-3100

The provider's authorized official is J Kevin Johnson .
The authorized official title is Doctor and has the following contact phone number (719) 542-3100.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 6/18/2008.

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
1207R00000XInternal MedicineYes

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=========OTHERCOLORADOBCBS BOTH
201365246MEDICAIDCOLORADO
3C406808MEDICARE PINCOLORADO
4DD7190OTHERCOLORADORAILROAD MEDICARE
5=========OTHERCOLORADOUNITED HEALTH BOTH

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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