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DR. BRYAN J JOHNSON D.D.S.
NPI 1740384981
Dentist - Oral and Maxillofacial Surgery in Waterford, MI

Active since September 08, 2006PECOS EnrolledAccepts Medicare Assignment
4250 PONTIAC LAKE RD, SUITE B, WATERFORD, MI 48328(248) 674-0303(248) 674-2947 Get Directions Write a Review

NPPES record last updated: June 27, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Bryan J Johnson D.d.s. NPPES

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

DR. BRYAN J JOHNSON D.D.S. (NPI 1740384981) is an individual oral and maxillofacial surgery provider in Waterford, Michigan, licensed in Michigan (BJ017615) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1740384981
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. BRYAN J JOHNSONCredential: D.D.S.
Location Address4250 PONTIAC LAKE RD, SUITE BWaterford, MI 48328-1281
Mailing Address11525 Highland Rd, Suite 23Hartland, MI 48353-2726 · (810) 632-0303 · Fax (810) 632-7305
Phone(248) 674-0303
Fax(248) 674-2947
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 8, 2006
Last NPPES UpdateJune 27, 2014
✔ NPI 1740384981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MI · BJ017615
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License BJ017615 (MI)
4250 PONTIAC LAKE RD, Waterford, MI 48328
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Other Identifiers 4

Medicare UPINU97197MI
Medicare ID-Type UnspecifiedON78470MI
Medicare ID-Type UnspecifiedOF37120MI
Other190F37120MI · Bcbs Of Mi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bryan J Johnson D.d.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567376957
PECOS Enrollment IDI20031119000161
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48328 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. JOHN A LAZARUS D.D.S.
Dentist
4250 PONTIAC LAKE RD, SUITE A
WATERFORD, MI 48328
Oakland County (248) 674-3136
DR. SANJOT LEHAL DDS MD
Oral & Maxillofacial Surgery
4250 PONTIAC LAKE RD
WATERFORD, MI 48328
Oakland County (248) 674-0303
JOHN A LAZARUS DDS MS PC
Dentist
4250 PONTIAC LAKE RD, SUITE A
WATERFORD, MI 48328
Oakland County (248) 674-3136

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 Bryan Johnson's NPI number?

The NPI number for Bryan Johnson is 1740384981. It was assigned to this individual provider in the NPPES registry on September 8, 2006.

Where is Bryan Johnson located?

Bryan Johnson practices at 4250 Pontiac Lake Rd Suite B, Waterford, MI 48328. The listed phone number is (248) 674-0303.

What is Bryan Johnson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Bryan Johnson enrolled in Medicare?

Yes. Bryan Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bryan Johnson accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Bryan Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bryan Johnson was last updated on June 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.