Individual
DR. BRIAN L. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 635-5264
(573) 761-4351
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
(573) 556-5757
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
108712
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127908
GROUP HEALTH PLAN
MO
01
—
128687
ANTHEM BLUE CROSS BLUE SH
MO
01
—
1816637
FIRST HEALTH
MO
01
—
20433
HEALTHCARE USA IND
MO
01
—
204961809
MO CARE IND
MO
05
—
204961809
—
MO
01
—
434227
HEALTHLINK IND
MO
01
—
7034216
AETNA
MO
01
—
9201146
UNITED HEALTHCARE
MO
01
—
A002
TRICARE IND
MO
01
—
H12503
MERCY
MO
01
—
P00119749
RAILROAD MEDICARE
MO
Enumeration date
06/23/2005
Last updated
12/23/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us