Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. BRUCE ROY JOHNSON
Active
Individual
DR. BRUCE ROY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DE00006627
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0149889
LABOR & INDUSTRIES
WA
01
—
91111635510
KITSAP PHYSICIAN SERVICE
VA
01
—
JO6014
REGENCE
WA
Enumeration date
06/14/2006
Last updated
07/13/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up