Johnson Medical Center, PC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

JOHNSON MEDICAL CENTER, PC

Practice address

30550 Utica Rd
Roseville, MI 48066-1528

Phone

(586) 771-0290

Fax

(586) 771-5450

NPI assigned

Jan 31, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Gilbert Johnson, DONPI 1245236215

Title

President

Phone

(586) 777-7604

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce G Johnson, D.O.

  • Internal Medicine Physician
  • Livonia, MI
  • NPI 1245236215
  NPD (past) Authorized official

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184761801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20963 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213128",
            "telephone_number": "586-777-7604",
            "fax_number": "586-777-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30550 UTICA RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480661528",
            "telephone_number": "586-771-0290",
            "fax_number": "586-771-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON MEDICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "GILBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-777-7604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn M. Robelli DDS, Ms, PLLC
• John a. Vollmer, MD, PC
• John T. Golden, M.D.
• Sarine John-Rosman, M.D.
• Varghese John
• Alicia Marie Johnson, O.D.
• Linda Johnson, RN
• Neveen Amir Jolagh
• Gary M Jones Jr., FNP-C
• Jordan Jones

• Geriatric Medicine (Internal Medicine) Physician in Roseville, MI
• Providers in Roseville, MI by specialty
• Geriatric Medicine (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.