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BRANDARIUS JOHNSON
NPI 1396192894
Rehabilitation Practitioner in Las Vegas, NV

Active since May 16, 2016
6309 PORTOLA RD, LAS VEGAS, NV 89108(702) 300-0630 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brandarius Johnson NPPES

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

BRANDARIUS JOHNSON (NPI 1396192894) is an individual rehabilitation practitioner in Las Vegas, Nevada and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1396192894
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameBRANDARIUS JOHNSON
Location Address6309 PORTOLA RDLas Vegas, NV 89108-3920
Mailing Address6309 Portola RdLas Vegas, NV 89108-3920 · (702) 300-0630
Phone(702) 300-0630
Sole ProprietorYes
Enumeration DateMay 16, 2016
✔ NPI 1396192894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
6309 PORTOLA RD, Las Vegas, NV 89108
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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 Brandarius Johnson's NPI number?

The NPI number for Brandarius Johnson is 1396192894. It was assigned to this individual provider in the NPPES registry on May 16, 2016.

Where is Brandarius Johnson located?

Brandarius Johnson practices at 6309 Portola Rd, Las Vegas, NV 89108. The listed phone number is (702) 300-0630.

What is Brandarius Johnson's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Brandarius Johnson was last updated on May 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.