Individual
BRIAN JOHNSON
Active
Individual
BRIAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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