Active NPI
Brandon Warren Johnson, FNP-C
- Family Nurse Practitioner
- Pulaski, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024176544
- Practice address
- 2400 Lee Hwy N
Pulaski, VA 24301-2326 - Phone
- (540) 994-8100
- NPI assigned
- Aug 27, 2018
- Last updated
- Aug 27, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024176544 | VA | Primary |
Addresses
Primary practice location
2400 Lee Hwy N
Pulaski, VA 24301-2326
Mailing address
PO Box 1832
Hillsville, VA 24343-7832
Phone (276) 733-3105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
830 Rockford St
Mount Airy, NC 27030-5322
Phone (336) 783-8374
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Hospital of Surry County | Current | Accepting new patients | |
| Northern Hospital of Surry County | Current | Accepting new patients | |
| Kingsford Physician Services, LLC | Current | Accepting new patients | |
| Southeastern Intensivist Services PC | Current | Accepting new patients | |
| Northern Hospital of Surry County | Past | Accepting new patients |
Locations
423 S South St
Mount Airy, NC 27030
Phone (336) 786-5144
830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000
200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011
1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046
2400 Lee Hwy N
Pulaski, VA 24301
Phone (540) 994-8100
Organizations & group practices 5
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.
-
dba Hospitalists of Mount Airy
- Internal Medicine Physician
- Mount Airy, NC
- NPI 1114467404
-
- Hospitalist Physician
- Pulaski, VA
- NPI 1871088526
-
dba Northern Obstetrics & Gynecology
- Obstetrics & Gynecology Physician
- Mount Airy, NC
- NPI 1043061559
-
dba Northern Orthopaedics
- Orthopaedic Surgery Physician
- Mount Airy, NC
- NPI 1689114969
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Forsyth Medical Center
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
-
- Psychiatric Hospital Unit
- Winston Salem, NC
- NPI 1063480531
-
- Rehabilitation Hospital Unit
- Winston Salem, NC
- NPI 1114995677
-
dba Wake Forest Baptist Medical Center
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1144211301
-
dba Wake Forest Baptist Medical Center
- Clinical Medical Laboratory
- Winston Salem, NC
- NPI 1609162098
Hospital
-
dba Winston East Pediatrics
- Pediatric Adolescent Medicine Physician
- Winston Salem, NC
- NPI 1912179219
Hospital
-
dba North Hospital of Surry County
- General Acute Care Hospital
- Mount Airy, NC
- NPI 1366449282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1225519291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1832",
"city": "HILLSVILLE",
"state": "VA",
"postal_code": "243437832",
"telephone_number": "276-733-3105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 LEE HWY N",
"city": "PULASKI",
"state": "VA",
"postal_code": "243012326",
"telephone_number": "540-994-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "BRANDON",
"middle_name": "WARREN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-27",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024176544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pulaski, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.