Johnson, Bradley Loyal

Johnson, Bradley Loyal is an individual health care provider with primary practice located at 401 W Poplar St Radiology, Walla Walla WA 99362-2846. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Johnson, Bradley Loyal can be contacted via phone (509) 522-5790.

Contact Information

Primary practice address
401 W Poplar St Radiology Walla Walla WA 99362-2846
Phone: (509) 522-5790
Fax: (509) 522-5744
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00027313 Washington

Profile Details

NPI number 1720195068
LBN Legal business name Johnson, Bradley Loyal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Mar 22nd, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720195068 NPPES
Oregon MEDICAID 150804
Oregon MEDICAID 1720195068

Popular Providers