Nicholas Bradford Johnson is a plastic and reconstructive surgery surgery in Idaho Falls, ID with 14 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Nicholas Bradford Johnson NPI is 1578850210. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: ST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:2010
The provider's business location address is:
3200 CHANNING WAY STE 206
IDAHO FALLS, ID
ZIP 83404-546
Phone: (208) 529-2230
Fax: (208) 453-6142
The NPI 1578850210 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 7/1/2011 and was last updated on 2/28/2024.