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BRIAN R JOHNSON S.P.
NPI 1104964188
Speech-Language Pathologist in Bellevue, WA

Active since February 02, 2007
626 120TH AVE NE, SUITE B201, BELLEVUE, WA 98005(425) 556-6330(425) 556-6325 Get Directions Write a Review

NPPES record last updated: October 27, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brian R Johnson S.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN R JOHNSON S.P. (NPI 1104964188) is an individual speech-language pathologist provider in Bellevue, Washington, licensed in Washington (LL00003248) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1104964188
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameBRIAN R JOHNSONCredential: S.P.
Location Address626 120TH AVE NE, SUITE B201Bellevue, WA 98005-3077
Mailing Address11511 Ne 10th St, Bellevue Medical CenterBellevue, WA 98004-8578 · (425) 502-3898 · Fax (425) 502-4233
Phone(425) 556-6330
Fax(425) 556-6325
Sole ProprietorNo
Enumeration DateFebruary 2, 2007
Last NPPES UpdateOctober 27, 2015
✔ NPI 1104964188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in WA · LL00003248
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
626 120TH AVE NE, Bellevue, WA 98005
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Other Identifiers 1

Medicaid8410839WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian R Johnson S.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Brian Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of Washington
7.4 mi
Multi-Specialty
320 WESTLAKE AVE. N., SUITE 100
Seattle, WA 98109
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 clinicians in this Medicare group
NPI 1396810701 (206) 448-6561

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ABDOLHOSSEIN SHAHRASBI DDS,MS
Dentist
626 120TH AVE NE, SUITE B210
BELLEVUE, WA 98005
King County (425) 453-1547
ROBERT GAIL OLIVER D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
626 120TH AVE NE, B-210
BELLEVUE, WA 98005
King County (425) 453-1547
MR. ANDREW P MADSEN MS, CFY
Speech-Language Pathologist
626 120TH AVE NE, # B201
BELLEVUE, WA 98005
King County (425) 556-6318
ADAM D HEINER S.T.
Speech-Language Pathologist
626 120TH AVE NE, SUITE B201
BELLEVUE, WA 98005
King County (425) 556-6330
SKYE HUDSON DANIELS M.S. CCC-SLP
Speech-Language Pathologist
626 120TH AVE NE, SUITE B-201
BELLEVUE, WA 98005
King County (425) 556-6330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Johnson's NPI number?

The NPI number for Brian Johnson is 1104964188. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Brian Johnson located?

Brian Johnson practices at 626 120th Ave NE Suite B201, Bellevue, WA 98005. The listed phone number is (425) 556-6330.

What is Brian Johnson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Brian Johnson enrolled in Medicare?

Yes. Brian Johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brian Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Johnson reassigns Medicare benefits to Kaiser Foundation Health Plan Of Washington (Seattle, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brian Johnson was last updated on October 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.