Active NPI
Terry Johnson, MD
- Urology Physician
- Abilene, TX
National Provider Identifier
1184606246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- E4437
- Practice address
- 1149 Ambler Ave
Abilene, TX 79601-2309 - Phone
- (325) 676-7111
- NPI assigned
- Nov 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | E4437 | TX | Primary |
Addresses
Primary practice location
1149 Ambler Ave
Abilene, TX 79601-2309
Mailing address
1149 Ambler Ave
Abilene, TX 79601-2309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184371200000",
"number": "1184606246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1149 AMBLER AVE",
"city": "ABILENE",
"state": "TX",
"postal_code": "796012309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1149 AMBLER AVE",
"city": "ABILENE",
"state": "TX",
"postal_code": "796012309",
"telephone_number": "325-676-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "TERRY",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2007-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "E4437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.