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DR. BRETT ALLAN JOHNSON MD
NPI 1235703455
General Practice in Chicago, IL

Active since May 13, 2021PECOS Enrolled
2555 N CLARK ST APT 1409, CHICAGO, IL 60614(214) 820-2361 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2024, May 13, 2021 (2 updates tracked since 2021).

About Dr. Brett Allan Johnson Md NPPES

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

DR. BRETT ALLAN JOHNSON MD (NPI 1235703455) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (036169152) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235703455
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. BRETT ALLAN JOHNSONCredential: MD
Location Address2555 N CLARK ST APT 1409Chicago, IL 60614-1757
Mailing Address2555 N Clark St Apt 1409Chicago, IL 60614-1757 · (214) 385-0777
Phone(214) 820-2361
Sole ProprietorYes
Enumeration DateMay 13, 2021
Last NPPES UpdateJune 3, 20242 updates tracked since enumeration
NPPES CertifiedJune 3, 2024
✔ NPI 1235703455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IL · 036169152
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2555 N CLARK ST APT 1409, Chicago, IL 60614
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brett Allan Johnson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Brett Johnson's NPI number?

The NPI number for Brett Johnson is 1235703455. It was assigned to this individual provider in the NPPES registry on May 13, 2021.

Where is Brett Johnson located?

Brett Johnson practices at 2555 N Clark St Apt 1409, Chicago, IL 60614. The listed phone number is (214) 820-2361.

What is Brett Johnson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Brett Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Brett Johnson was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.