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BRAD JOHNSON
NPI 1639970940
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since March 22, 2025PECOS Enrolled
4150 V ST # 1100, SACRAMENTO, CA 95817(916) 734-2737 Get Directions Write a Review

NPPES record last updated: March 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brad Johnson NPPES

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

BRAD JOHNSON (NPI 1639970940) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639970940
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRAD JOHNSON
Location Address4150 V ST # 1100Sacramento, CA 95817-1460
Mailing Address4150 V St # 1100Sacramento, CA 95817-1460 · (916) 734-2737
Phone(916) 734-2737
Sole ProprietorYes
Enumeration DateMarch 22, 2025
NPPES CertifiedMarch 22, 2025
✔ NPI 1639970940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4150 V ST # 1100, Sacramento, CA 95817
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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)

Brad Johnson 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 20

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

DANIELLE ZEZOFF
Internal Medicine
4150 V ST # 1100
SACRAMENTO, CA 95817
Sacramento County (916) 734-2737
NINA LIU
Student in an Organized Health Care Education/Training Program
4150 V ST # 1100
SACRAMENTO, CA 95817
Sacramento County (916) 734-2737
DR. DAVID DAIWEI WANG MD
Student in an Organized Health Care Education/Training Program
4150 V ST # 1100
SACRAMENTO, CA 95817
Sacramento County (916) 734-2737
CONAN S LIU
Internal Medicine
4150 V ST # 1100
SACRAMENTO, CA 95817
Sacramento County (916) 734-2737
MR. OMAR ESCOBEDO MD
Internal Medicine
4150 V ST # 1100
SACRAMENTO, CA 95817
Sacramento County (916) 734-2737
KELSEY WONG DO
Student in an Organized Health Care Education/Training Program
4150 V ST # 1100
SACRAMENTO, CA 95817
Sacramento County (916) 734-2737
LINDSAY E VALENTI
Student in an Organized Health Care Education/Training Program
4150 V ST # 1100
SACRAMENTO, CA 95817
Sacramento County (916) 734-2737
DR. ASHLEY MEGAN FELDKAMP MD
Internal Medicine (Rheumatology)
4150 V ST # 1100
SACRAMENTO, CA 95817
Sacramento County (916) 734-2737

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 Brad Johnson's NPI number?

The NPI number for Brad Johnson is 1639970940. It was assigned to this individual provider in the NPPES registry on March 22, 2025.

Where is Brad Johnson located?

Brad Johnson practices at 4150 V St # 1100, Sacramento, CA 95817. The listed phone number is (916) 734-2737.

What is Brad Johnson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brad Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Brad Johnson was last updated on March 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.