GARY LEE JOHNSON MD NPI 1750300430

NPI Information

  • NPI: 1750300430
  • Provider Name: GARY LEE JOHNSON, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 1265 JOHN Q HAMMONS DR
    MADISON, WI
    ZIP 53717
  • Phone: (608) 251-4156

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NPI Details

Gary Lee Johnson, MD is a family medicine in Madison, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Gary Lee Johnson, MD NPI is 1750300430. 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:

1265 JOHN Q HAMMONS DR
MADISON, WI
ZIP 53717-941
Phone: (608) 251-4156
Fax: (608) 257-3842

The enumeration date for this NPI number is 7/19/2006 and was last updated on 7/8/2007.

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
1207Q00000XFamily Medicine25883WISCONSINYes

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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