DR. BRUCE JOHNSON MD NPI 1750386579

NPI Information

  • NPI: 1750386579
  • Provider Name: DR. BRUCE JOHNSON, MD
  • Classification: Otolaryngology - 207Y00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3099 RIVER RD S
    SALEM, OR
    ZIP 97302
  • Phone: (503) 518-1567

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NPI Details

DR. Bruce Johnson, MD is an otolaryngology in Salem, OR with 40 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. DR. Bruce Johnson, MD NPI is 1750386579. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1986

The provider's business location address is:

3099 RIVER RD S
SALEM, OR
ZIP 97302-754
Phone: (503) 518-1567
Fax: (503) 399-1229

The NPI 1750386579 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Professional service for single injection of allergen (HCPCS:95115)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of impacted ear wax (HCPCS:69210)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 6/17/2005 and was last updated on 10/31/2011.

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
1207Y00000XOtolaryngology15194OREGONYes

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
1029772MEDICAIDOREGON
2000BKB2JMEDICARE ID-TYPE UNSPECIFIEDOREGONMEDICARE
3E90098MEDICARE UPINOREGON

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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