BRADLEY JOHNSON NPI 1003010596

Otolaryngology (Plastic Surgery within the Head & Neck)

DR. BRADLEY TYLER JOHNSON MD

Bradley Johnson is a otolaryngology in Springfield, MO. Bradley Johnson NPI is 1003010596. The provider's taxonomy code is 207YX0007X - Otolaryngology. An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

NPI Profile Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

NPI: 1003010596
Provider Name: DR. BRADLEY TYLER JOHNSON MD
Gender: Male
NPI Entity Type: Individual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).

Is Sole Proprietor?: No
Is Organization Subpart?: N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Enumeration Date: 06-11-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date: 10-18-2013 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.


Registered in PECOS?: YES Additional informationCallout TooltipWhat is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.


Taxonomies


The taxonomy code defines the provider type, classification, and specialization. For individual NPIs the license data is associated to the taxonomy code.

Map Location


DR. BRADLEY TYLER JOHNSON MD address is 1229 E SEMINOLE ST STE 520 SPRINGFIELD, MO 65804 Get Directions