BRIDGETT MICHELLE JOHNSON APRN NPI 1629580519

NPI Information

  • NPI: 1629580519
  • Provider Name: BRIDGETT MICHELLE JOHNSON, APRN
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1481 MCDONALD AVE FL 2
    BROOKLYN, NY
    ZIP 11230
  • Phone: (929) 491-7333

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NPI Details

Bridgett Michelle Johnson, APRN is a gerontology nurse practitioner in Brooklyn, NY with 5 years of experience. Bridgett Michelle Johnson, APRN NPI is 1629580519. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1481 MCDONALD AVE FL 2
BROOKLYN, NY
ZIP 11230-667
Phone: (929) 491-7333
Fax: (000) 000-0000

The NPI 1629580519 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 10/31/2017 and was last updated on 6/16/2025.

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
1363LP2300XNurse PractitionerPrimary Care95020396CALIFORNIANo
2363LP2300XNurse PractitionerPrimary Care11015365FLORIDANo
3363LG0600XNurse PractitionerGerontology26NJ14875500NEW JERSEYNo
4363LP2300XNurse PractitionerPrimary Care1057450TEXASNo
5363LG0600XNurse PractitionerGerontology74494NEW MEXICONo
6163W00000XRegistered Nurse9382157FLORIDANo
7363L00000XNurse Practitioner74494NEW MEXICONo
8363LA2200XNurse PractitionerAdult Health310606NEW YORKNo
9363LG0600XNurse PractitionerGerontology11015365FLORIDAYes

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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