BRENT E JOHNSON M.D.
NPI 1487640447
Specialist in Prescott, AZ

Q: What is Brent Johnson's NPI number?

The NPI number for Brent Johnson is 1487640447. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Q: What is Brent Johnson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Brent Johnson was last updated on July 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since September 26, 2005PECOS Enrolled

1000 AINSWORTH DR, SUITE 115, PRESCOTT, AZ 86305(928) 778-1971(928) 443-8473 Get Directions Write a Review

NPPES record last updated: July 25, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Brent E Johnson M.d. NPPES

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

BRENT E JOHNSON M.D. (NPI 1487640447) is an individual specialist in Prescott, Arizona, licensed in Arizona (20366) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487640447

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameBRENT E JOHNSONCredential: M.D.

Location Address1000 AINSWORTH DR, SUITE 115Prescott, AZ 86305-1667

Mailing Address1000 Ainsworth Dr, Suite 115Prescott, AZ 86305-1667 · (928) 778-1971 · Fax (928) 443-8473

Phone(928) 778-1971

Fax(928) 443-8473

Sole ProprietorNo

Enumeration DateSeptember 26, 2005

Last NPPES UpdateJuly 25, 2011

✔ NPI 1487640447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in AZ · 20366

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1000 AINSWORTH DR, Prescott, AZ 86305

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Other Identifiers 4

Medicare PINZ76089

Medicare UPINF07709

Medicare PINZ30WCFJJ1F

Medicaid069709AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brent E Johnson M.d. 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.

Other Providers at the Same Location NPPES 7

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

DR. MATTHEW R DICKER MD

Specialist

1000 AINSWORTH DR, SUITE 115
PRESCOTT, AZ 86305

Yavapai County (928) 778-1971

BRIAN D KIMBALL MD

Specialist

1000 AINSWORTH DR, SUITE 115
PRESCOTT, AZ 86305

Yavapai County (928) 778-1971

WARREN G GOODMAN MD

Specialist

1000 AINSWORTH DR, SUITE 115
PRESCOTT, AZ 86305

Yavapai County (928) 778-1971

DAVID R AMSTUTZ MD

Specialist

1000 AINSWORTH DR, SUITE 115
PRESCOTT, AZ 86305

Yavapai County (928) 778-1971

MICHAEL J D'ANGELO MD

Specialist

1000 AINSWORTH DR, SUITE 115
PRESCOTT, AZ 86305

Yavapai County (928) 778-1971

MICHELE M PETERS FNP

Clinic/Center (Primary Care)

1000 AINSWORTH DR, STE A220
PRESCOTT, AZ 86305

Yavapai County (928) 830-1717

ROBERT T BARRY MD

Specialist

1000 AINSWORTH DR, SUITE 115
PRESCOTT, AZ 86305

Yavapai County (928) 778-1971

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 Brent Johnson's NPI number?

The NPI number for Brent Johnson is 1487640447. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Brent Johnson located?

Brent Johnson practices at 1000 Ainsworth Dr Suite 115, Prescott, AZ 86305. The listed phone number is (928) 778-1971.

What is Brent Johnson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Brent Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Brent Johnson was last updated on July 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.