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MR. BRIAN ROBERT JOHNSON N.P.
NPI 1962895888
Nurse Practitioner - Family in Blackfoot, ID

Active since March 17, 2015
1350 PARKWAY DR, BLACKFOOT, ID 83221(208) 782-2415(208) 782-2411 Get Directions Write a Review

NPPES record last updated: May 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Brian Robert Johnson N.p. NPPES

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

MR. BRIAN ROBERT JOHNSON N.P. (NPI 1962895888) is an individual family provider in Blackfoot, Idaho, licensed in Idaho (NP-1550A) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1962895888
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. BRIAN ROBERT JOHNSONCredential: N.P.
Location Address1350 PARKWAY DRBlackfoot, ID 83221-1657
Mailing Address98 Poplar StBlackfoot, ID 83221-1758 · (208) 785-4100 · Fax (208) 785-8529
Phone(208) 782-2415
Fax(208) 782-2411
Sole ProprietorNo
Enumeration DateMarch 17, 2015
Last NPPES UpdateMay 6, 2016
✔ NPI 1962895888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ID · NP-1550A
1350 PARKWAY DR, Blackfoot, ID 83221
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Other Providers at the Same Location NPPES 4

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

KODY RAY GOULD PA
Physician Assistant
1350 PARKWAY DR
BLACKFOOT, ID 83221
Bingham County (208) 782-2410
DR. MARYANN SMOUT DNP, FNP-C
Nurse Practitioner (Family)
1350 PARKWAY DR
BLACKFOOT, ID 83221
Bingham County (208) 782-2410
VALLEY MEDICAL SHOPPE INC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1350 PARKWAY DR, STE 26
BLACKFOOT, ID 83221
Bingham County (208) 782-0456
BMH INC
Clinic/Center (Rural Health)
1350 PARKWAY DR
BLACKFOOT, ID 83221
Bingham County (208) 782-2410

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 Brian Johnson's NPI number?

The NPI number for Brian Johnson is 1962895888. It was assigned to this individual provider in the NPPES registry on March 17, 2015.

Where is Brian Johnson located?

Brian Johnson practices at 1350 Parkway Dr, Blackfoot, ID 83221. The listed phone number is (208) 782-2415.

What is Brian Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Brian Johnson was last updated on May 6, 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.