NPIMap

Individual provider Active NPI

Bryan A Johnson, M.D.

  • Surgery Physician
  • North Chesterfield, VA
National Provider Identifier
1063836096
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101258621 Issued in VA
Practice address
10710 Midlothian Tpke Ste 138
North Chesterfield, VA 23235
Phone
(804) 348-2814
Fax
(855) 815-0304
NPI assigned
Feb 11, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101258621 VA Primary

Addresses

Primary practice location

10710 Midlothian Tpke Ste 138
North Chesterfield, VA 23235

Mailing address

7202 Glen Forest Dr Ste 200
Richmond, VA 23226-3780
Phone (804) 673-2024

Other practice location 1

6605 W Broad St Ste A
Richmond, VA 23230-1714
Phone (804) 287-3000

Other practice location 2

10710 Midlothian Tpke Ste 138
North Chesterfield, VA 23235
Phone (804) 330-7990

Other practice location 3

1051 Johnston Willis Dr
Suite 200
North Chesterfield, VA 23235-4871
Phone (804) 560-7706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150911001686 VA Practitioner - General Surgery 8426276866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of North Carolina at Chapel Hill School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Cancer Institute IncorporatedGroup PAC ID 8628048378, 47 clinicians

Practice addresses (Care Compare)

10710 Midlothian Tpke
Suite 138
North Chesterfield, VA 23235-4766
Phone (804) 348-2814

Hospital & facility affiliations

  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136

Merit-based Incentive Payment System (MIPS)

Final score
74.62 of 100Reported as group
Quality
58.64
Promoting interoperability
81
Improvement activities
40
Cost
66.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion85
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)15
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Cancer Institute Incorporated CurrentSince Jan 1, 2019 Accepting new patients
Virginia Cancer Institute Incorporated CurrentSince Jan 1, 2019 Accepting new patients

Locations

1401 Johnston Willis Dr
Ste 100
North Chesterfield, VA 23235
Phone (804) 287-3000

10710 Midlothian Tpke
Ste 138
North Chesterfield, VA 23235
Phone (804) 330-4990

6605 W Broad St
Ste A
Richmond, VA 23230
Phone (804) 287-3000

7202 Glen Forest Dr
Ste 200
Richmond, VA 23226
Phone (804) 673-0134

Interoperability endpoints

  • FHIR API: https://fhir.prod.flatiron.io/fhir/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1063836096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 GLEN FOREST DR STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263780",
            "telephone_number": "804-673-2024",
            "fax_number": "804-673-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 MIDLOTHIAN TPKE STE 138",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-348-2814",
            "fax_number": "855-815-0304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6605 W Broad St Ste A",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232301714",
            "country_code": "US",
            "telephone_number": "804-287-3000",
            "fax_number": "804-673-2731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10710 Midlothian Tpke Ste 138",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "23235",
            "country_code": "US",
            "telephone_number": "804-330-7990",
            "fax_number": "804-330-2701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1051 Johnston Willis Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232354871",
            "country_code": "US",
            "telephone_number": "804-560-7706",
            "fax_number": "804-897-0302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRYAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-11",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101258621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.