# BRUCE E JOHNSON MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194989236
- **Authorized official:** BRUCE E JOHNSON M.D. (OWNER)
- **Authorized official phone:** (804) 282-0044

## Contact information

- **Practice address:** 7605 FOREST AVE, SUITE 316, RICHMOND, VA 23229-4938
- **Practice address phone:** (804) 282-0044
- **Practice address fax:** (804) 287-4317
- **Mailing address:** 7605 FOREST AVE, SUITE 316, RICHMOND, VA 23229-4938
- **Mailing address phone:** (804) 282-0044
- **Mailing address fax:** (804) 287-4317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0101027023 | VA | Yes |

## Other

- **Enumeration date:** 07/17/2008
- **Last updated:** 07/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 027122 | CIGNA | VA |
| 01 | — | 140760 | ANTHEM BCBS | VA |
| 01 | — | 2532231 | AETNA | VA |
| 01 | — | 48006 | SENTARA | VA |
| 01 | — | 57743 | SOUTHERN HEALTH | VA |
| 05 | — | 6215891 | — | VA |
| 01 | — | 93234 | MAMSI | VA |