Johnson, Bradley D

Johnson, Bradley D is an individual health care provider with primary practice located at 3366 Oakdale Ave N 150, Robbinsdale MN 55422-2948. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery is his primary health care specialty. Johnson, Bradley D can be contacted via phone (763) 520-7840.

Contact Information

Primary practice address
3366 Oakdale Ave N 150 Robbinsdale MN 55422-2948
Phone: (763) 520-7840
Fax: (763) 520-1578
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 45555 Minnesota
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 45555 Minnesota

Profile Details

NPI number 1538130844
LBN Legal business name Johnson, Bradley D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Nov 7th, 2023 - about last year

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 1538130844 NPPES
Minnesota MEDICAID 323630700

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