Robert Albert Johnson, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101027024 Issued in VA

Practice address

293 Independence Blvd
Pembroke Five, Suite 330
Virginia Beach, VA 23462-5466

Phone

(757) 499-4949

Fax

(757) 499-0648

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043234925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61094",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234661094",
            "telephone_number": "757-499-4949",
            "fax_number": "757-499-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 INDEPENDENCE BLVD",
            "address_2": "PEMBROKE FIVE, SUITE 330",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625466",
            "telephone_number": "757-499-4949",
            "fax_number": "757-499-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101027024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Mathew Johnson, MD
• Phylicia Johnson
• Priscilla M Johnson, DDS
• Rachel Johnson, PT, DPT
• Rene' Johnson, CMT, LMT, MMP
• Sabrina Renee Johnson, LPC
• Samuel James Johnson Jr.
• Shaunte Johnson
• Sherry Johnson
• Sherry Johnson

• Pediatrics Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.