Individual
DR. BRYON N. JOHNSON
Active
Individual
DR. BRYON N. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
3804
IA
207RP1001X
Pulmonary Disease Physician
3804
IA
207RP1001X
Pulmonary Disease Physician
Primary
DO-03804
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134339989
—
IA
01
—
57981
BLUE CROSS BLUE SHIELD
IA
01
—
I20787
MEDICARE NUMBER
IA
Enumeration date
05/23/2007
Last updated
11/11/2020
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