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
Phone: (414) 421-8400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013250737 | NPPES |
| Washington | MEDICAID | 1036645 | |
| Washington | MEDICAID | 100174759 |
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