Gary Alan Johnson, P.T.
Specialist in Bryan, TX. Individual provider (NPI-1).
NPI number1992827802
StatusActive
Last updated in NPPESJan 29, 2019
Details
- NPI
- 1992827802
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gary Alan Johnson
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 4, 2007
- Last updated
- Jan 29, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 1107241 | TX | Yes |
Practice location
1716 Briarcrest DrSte 800
Bryan, TX 77802-2763
Phone 979-846-2878 · Fax 979-846-2877
Mailing address
1716 Briarcrest DrSte 800
Bryan, TX 77802-2763
Phone 979-846-2878 · Fax 979-846-2877
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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