Alexander Johnson, CP CERTIFIED PROSTHE

Primary specialty

Orthotic FitterTaxonomy code 225000000X

License

P1026

Practice address

99 First St
Berkshire Prosthetic Center
Pittsfield, MA 01201-4745

Phone

(413) 442-5381

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316099187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 SEEKONK CROSSROAD",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301569",
            "telephone_number": "413-528-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 FIRST ST",
            "address_2": "BERKSHIRE PROSTHETIC CENTER",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014745",
            "telephone_number": "413-442-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "CP CERTIFIED PROSTHE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": "P1026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1524631",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariama Jobe, RN
• Simeon Joffe
• Sophia Joffe
• John T Sinclair
• Jamar Johnson-Dowdell
• Daniel Johnson
• Lorraine A Johnson, LICSW
• Rachel Johnson, MSW
• Rebecca Leigh Johnson, LICSW
• Rebecca Lynn Johnson, MD

• Orthotic Fitter in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Orthotic Fitter in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.