Brad A. Johnson, MD
Internal Medicine, Critical Care Medicine in Greenfield, WI. Individual provider (NPI-1).
NPI number1013250737
StatusActive
Last updated in NPPESJul 15, 2024
Details
- NPI
- 1013250737
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brad A. Johnson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2013
- Certification date
- Jul 15, 2024
- Last updated
- Jul 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0200X | Internal Medicine, Critical Care Medicine | 20554 | WI | Yes |
| 207P00000X | Emergency Medicine | 20554 | WI |
Practice location
6901 W Edgerton AveGreenfield, WI 53220-4420
Phone 414-421-8400
Mailing address
Po Box 735044Chicago, IL 60673-5044
Phone 800-326-2250
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