Organization Active NPI

Richard Johnson MD PA

  • Internal Medicine Physician
  • Kerrville, TX
National Provider Identifier
1285822957
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F1686 Issued in TX
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

Updated by the provider on Oct 9, 2007

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0017NKOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.