Active NPI
Richard Johnson MD PA
- Internal Medicine Physician
- Kerrville, TX
National Provider Identifier
1285822957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- F1686
- Legal business name
- RICHARD JOHNSON MD PA
- Practice address
- 710 Water St Ste 300
Kerrville, TX 78028-5396 - Phone
- (830) 257-5500
- NPI assigned
- Oct 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cindy Taylor
- Title
- Credentialing
- Phone
- (830) 896-2900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | F1686 | TX | Primary |
Addresses
Primary practice location
710 Water St Ste 300
Kerrville, TX 78028-5396
Mailing address
PO Box 290968
Kerrville, TX 78029-0968
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017NK | Other | TX | BCBS |
National Provider Directory
National Provider DirectoryLocations
710 Water St
Ste 701
Kerrville, TX 78028
Phone (830) 257-5500
710 Water St
Ste 300
Kerrville, TX 78028
Phone (830) 257-5500
710 Water St
#300
Kerrville, TX 78028
Phone (830) 257-5500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- New Braunfels, TX
- NPI 1578727129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191888000000",
"number": "1285822957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 290968",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780290968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 WATER ST STE 300",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780285396",
"telephone_number": "830-257-5500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD JOHNSON MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-09",
"last_updated": "2007-10-09",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "CINDY",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "830-896-2900"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "F1686",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0017NK",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.