Individual
DR. BRADLEY SCOTT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1140 E MICHIGAN AVE, LANSING, MI 48912-1805
(517) 364-5655
Mailing address
1140 E MICHIGAN AVE, LANSING, MI 48912-1805
(517) 364-5655
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
1417528357
MI
390200000X
Student in an Organized Health Care Education/Training Program
M083810221
OK
Other
Enumeration date
07/01/2021
Last updated
04/22/2026
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