Individual provider Active NPI

Brian S Johnson, NP

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1205875309
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
664213 Issued in TX
Practice address
22250 Bulverde Rd
Ste 120
San Antonio, TX 78261-3084
Phone
(210) 401-8185
Fax
(210) 401-8186
NPI assigned
Jun 5, 2006
Last updated
Dec 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 664213 TX Primary

Addresses

Primary practice location

22250 Bulverde Rd
Ste 120
San Antonio, TX 78261-3084

Mailing address

PO Box 47154
San Antonio, TX 78265-7154
Phone (210) 401-8185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050511000208 TX Practitioner - Nurse Practitioner 5294775045 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arete Urgent Care PLLCGroup PAC ID 6507042876, 9 clinicians

Practice addresses (Care Compare)

401 E Milam St
Mexia, TX 76667-2329
Phone (254) 562-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3363SCMDPhysical Therapist
664213TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Emergency Clinic of Floresville, LLC CurrentSince May 26, 2020 Accepting new patients
Schertz Cibolo Emergency Center, LLC CurrentSince May 26, 2020 Accepting new patients
Tri County Family Medical Care Group LLC Current Accepting new patients
Port Arthur Emergency Physicians Nurse Practitioner CurrentSince Jan 5, 2007 Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC Current Accepting new patients
St Joseph Emergency Physicians PLLC Nurse Practitioner Current Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC CurrentSince Oct 1, 2010 Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC Nurse Practitioner CurrentSince Oct 1, 2010 Accepting new patients
St Joseph Emergency Physicians PLLC CurrentSince Dec 1, 2011 Accepting new patients
Arete Urgent Care, PLLC CurrentSince Apr 12, 2011 Accepting new patients
Navarro Emergency Physicians PLLC Nurse Practitioner CurrentSince Sep 10, 2009 Accepting new patients
Texarkana Emergency Physicians PLLC Nurse Practitioner CurrentSince Jul 1, 2010 Accepting new patients
Easley Physician Partners PLLC Nurse Practitioner Past Accepting new patients
Belle Glade Emergency Physicians LLC Past Accepting new patients
Lake Mead Emergency Physicians, LLC Past Accepting new patients
Palms of Pasadena Emergency Physicians LLC Past Accepting new patients
Mountain Vista Emergency Physicians, LLC Nurse Practitioner Past Accepting new patients
Bay Area Emergency Physicians LLC Past Accepting new patients
Carraway Emergency Physicians, LLC Past Accepting new patients
Ed Physicians of West Louisiana, LLC Nurse Practitioner Past Accepting new patients
Marion SC Emergency Physicians Past Accepting new patients
Southcross Emergency Physicians Group Past Accepting new patients
Beckley Emergency Physicians LLC Nurse Practitioner Past Accepting new patients
Tempe Emergency Physicians, LTD Nurse Practitioner Past Accepting new patients
WV Emergency Physician Partners PLLC Past Accepting new patients
Odessa Physician Associates, PLLC Nurse Practitioner Past Accepting new patients
Acs Primary Care Physicians Southwest, PA Nurse Practitioner Past Accepting new patients
Thomasville Emergency Physicans Past Accepting new patients
Town & Country Emergency Physicians LLC Past Accepting new patients
Southcross Hospital LLC Past Accepting new patients
Williamson Emergency Physicians LLC Nurse Practitioner Past Accepting new patients
Chest Diagnostic Therapeutic SVCS & Transit Nursing of TX, Inc Past Accepting new patients
Sebring Emergency Physicians LLC Past Accepting new patients
Comprehensive Hospitalist Services of Florida LLC Past Accepting new patients
Lancaster Emergency Physicians, LLC Past Accepting new patients
Franklin Regional Emergency Physicians PLLC Past Accepting new patients
Neurosurgeons for Children, P.a. Past Accepting new patients
Middlesborough Emergency Physicians LLC Nurse Practitioner Past Accepting new patients

Locations

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

101 Wilson Dr
Ste 101
Floresville, TX 78114
Phone (210) 202-5777

101 Wilson Dr
Ste 102
Floresville, TX 78114
Phone (830) 393-3133

662 10th St
Bldg A
Floresville, TX 78114
Phone (830) 393-3133

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

311 E Milam St
Mexia, TX 76667
Phone (210) 202-1444

401 E Milam St
Mexia, TX 76667
Phone (254) 562-2500

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

22250 Bulverde Rd
Ste 120
San Antonio, TX 78261
Phone (210) 401-8185

4825 Roy Richard Dr
Ste 200
Schertz, TX 78154
Phone (210) 202-1123

1000 Pine St
Texarkana, TX 75501
Phone (903) 798-7365

Organizations & group practices 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1205875309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47154",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782657154",
            "telephone_number": "210-401-8185",
            "fax_number": "210-401-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 BULVERDE RD",
            "address_2": "STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782613084",
            "telephone_number": "210-401-8185",
            "fax_number": "210-401-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRIAN",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "664213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.