Organization Active NPI

Bruce E Johnson MD

  • Obstetrics & Gynecology Physician
  • Richmond, VA
National Provider Identifier
1194989236
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101027023 Issued in VA
Legal business name
BRUCE E JOHNSON MD
Practice address
7605 Forest Ave
Suite 316
Richmond, VA 23229-4938
Phone
(804) 282-0044
Fax
(804) 287-4317
NPI assigned
Jul 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Bruce E Johnson, M.D.
Title
Owner
Phone
(804) 282-0044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 0101027023 VA Primary

Addresses

Primary practice location

7605 Forest Ave
Suite 316
Richmond, VA 23229-4938

Mailing address

7605 Forest Ave
Suite 316
Richmond, VA 23229-4938
Phone (804) 282-0044

Other identifiers 7

IdentifierTypeStateIssuer
57743OtherVASOUTHERN HEALTH
93234OtherVAMAMSI
2532231OtherVAAETNA
140760OtherVAANTHEM BCBS
6215891MedicaidVA
027122OtherVACIGNA
48006OtherVASENTARA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1194989236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 FOREST AVE",
            "address_2": "SUITE 316",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294938",
            "telephone_number": "804-282-0044",
            "fax_number": "804-287-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605 FOREST AVE",
            "address_2": "SUITE 316",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294938",
            "telephone_number": "804-282-0044",
            "fax_number": "804-287-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE E JOHNSON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-282-0044",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101027023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "57743",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "93234",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2532231",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "140760",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6215891",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "027122",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "48006",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.