JERROLD JOHNSON
NPI 1861372096
Military Health Care Provider in Bedford Heights, OH

Active since September 08, 2025
6679 BALSAM DR, BEDFORD HEIGHTS, OH 44146(407) 450-4549 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerrold Johnson NPPES

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

JERROLD JOHNSON (NPI 1861372096) is an individual military health care provider provider in Bedford Heights, Ohio and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1861372096
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameJERROLD JOHNSON
Location Address6679 BALSAM DRBedford Heights, OH 44146-4804
Mailing Address6679 Balsam DrBedford Heights, OH 44146-4804 · (407) 450-4549
Sole ProprietorYes
Enumeration DateSeptember 8, 2025
NPPES CertifiedSeptember 7, 2025
NPI 1861372096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Also ListedDriverTaxonomy 172A00000X
Also ListedHome Health AideTaxonomy 374U00000X

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Home Health
6679 BALSAM DR
BEDFORD HEIGHTS, OH 44146
Case Manager/Care Coordinator
6679 BALSAM DR
BEDFORD HEIGHTS, OH 44146

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 Jerrold Johnson's NPI number?

The NPI number for Jerrold Johnson is 1861372096. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Where is Jerrold Johnson located?

Jerrold Johnson practices at 6679 Balsam Dr, Bedford Heights, OH 44146. The listed phone number is (407) 450-4549.

What is Jerrold Johnson's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Jerrold Johnson was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.