Johnson, Bradford V

Johnson, Bradford V is an individual health care provider with primary practice located at 6545 France Ave S Suite 150, Edina MN 55435-2131. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Johnson, Bradford V can be contacted via phone (952) 848-5600.

Contact Information

Primary practice address
6545 France Ave S Suite 150 Edina MN 55435-2131
Phone: (952) 848-5600
Fax: (952) 848-5660
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 50014 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 50014 Minnesota

Profile Details

NPI number 1992907364
LBN Legal business name Johnson, Bradford V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2007
Last updated Nov 17th, 2023 - 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 1992907364 NPPES
Minnesota MEDICAID 402683200

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