DAVID BRYAN JOHNSON MD NPI 1811974926

NPI Information

NPI: 1811974926
Provider Name: DAVID BRYAN JOHNSON, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4411 OAKWOOD DR
CHATTANOOGA, TN
ZIP 37416
Phone: (423) 892-4289
Get Directions

David Bryan Johnson, MD is a family medicine in Chattanooga, TN. 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. David Bryan Johnson, MD NPI is 1811974926. 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:

4411 OAKWOOD DR
CHATTANOOGA, TN
ZIP 37416-367
Phone: (423) 892-4289

The NPI 1811974926 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 12/29/2005 and was last updated on 10/8/2015.

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
1	207Q00000X	Family Medicine		049908	GEORGIA	Yes

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
1	89064FN	OTHER	NORTH CAROLINA	MEDICAID NC
2	H37281	MEDICARE UPIN	GEORGIA
3	000905121C	OTHER	GEORGIA	MEDICAID GA
4	0102830	OTHER	GEORGIA	UNITED HEALTHCARE
5	08BBWVN	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	INDIVIDUAL MEDICARE NUMBE
6	GRP4632	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	MEDICARE GROUP NUMBER
7	841074	OTHER	GEORGIA	BLUE CROSS BLUE SHIELD
8	P00048268	OTHER	GEORGIA	RAILROAD MEDICARE

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: 11/14/2023

NPI Synchronization or Removal

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