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DR. BRENT MITCHELL JOHNSON M.D. NPI 1679550933


NPI Information

NPI: 1679550933
Provider Name: DR. BRENT MITCHELL JOHNSON, M.D.
Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Individual

Specialization: Sports Medicine

PECOS Registration: Yes

Address:
2331 FRANKLIN RD SW
ROANOKE, VA
ZIP 24014
Phone: (540) 725-1226
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DR. Brent Mitchell Johnson, M.D. is a sports medicine orthopaedic surgery in Roanoke, VA. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. DR. Brent Mitchell Johnson, M.D. NPI is 1679550933. 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:

2331 FRANKLIN RD SW
ROANOKE, VA
ZIP 24014-111
Phone: (540) 725-1226
Fax: (540) 857-5306

The NPI 1679550933 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/28/2005 and was last updated on 3/29/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0005XOrthopaedic SurgerySports Medicine0101043592VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11679550933OTHERVIRGINIAMEDICAID OF NORTH CAROLINA
2P00831109OTHERVIRGINIARAILROAD MEDICARE
31679550933OTHERVIRGINIAGATEWAY
41679550933OTHERVIRGINIAHUMANA MEDICARE
5C70482MEDICARE UPIN
61679550933MEDICAIDVIRGINIA
71679550933OTHERVIRGINIAVA PREMIER
81679550933OTHERVIRGINIAAETNA
91679550933OTHERVIRGINIAANTHEM
101679550933OTHERVIRGINIAHEALTHKEEPERS
111679550933OTHERVIRGINIAVIRGINIA HEALTH NETWORK
121679550933OTHERVIRGINIAUNITED HEALTHCARE
131679550933OTHERVIRGINIASOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
14371194700OTHERVIRGINIABLACK LUNG
15VV7835AMEDICARE PINVIRGINIA
161679550933OTHERVIRGINIAUMWA
171679550933OTHERVIRGINIAHEALTHKEEPERS PLUS
181679550933OTHERVIRGINIACIGNA
19540506332005OTHERVIRGINIATRICARE/CHAMPUS
201679550933OTHERVIRGINIAOPTIMA HEALTH PLAN
211679550933OTHERVIRGINIAINTOTAL
223810018723OTHERVIRGINIAMEDICAID OF WEST VIRGINIA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.