Individual
BRIAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2105
(413) 582-2059
Mailing address
PO BOX 1177, NORTHAMPTON, MA 01061-1177
(413) 586-8443
(413) 582-8443
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
153887
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020117
BMC
MA
01
—
04-3364403
PRIVATE HEALTHCARE SYSTEM
MA
01
—
20463
HEALTH NEW ENGLAND
MA
01
—
273698
HARVARD PILGRIM
MA
05
—
3166856
—
MA
01
—
321917
CONNECTICARE
MA
01
—
615492
TUFTS
MA
01
—
812357
AETNA
MA
01
—
94881180001
CIGNA
MA
Enumeration date
02/28/2006
Last updated
05/01/2008
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