Johnson, Brad A.

Johnson, Brad A. is an individual health care provider with primary practice located at 6901 W Edgerton Ave , Greenfield WI 53220-4420. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Johnson, Brad A. can be contacted via phone (414) 421-8400.

Contact Information

Primary practice address
6901 W Edgerton Ave Greenfield WI 53220-4420
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 20554 Wisconsin
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 20554 Wisconsin

Profile Details

NPI number 1013250737
LBN Legal business name Johnson, Brad A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2013
Last updated Jul 15th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013250737 NPPES
Washington MEDICAID 1036645
Washington MEDICAID 100174759

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