Active NPI
Thomas Bryan Johnson, MD
- Pediatric Cardiology Physician
- Manchester, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 12135
- Practice address
- 100 Hitchcock Way
Manchester, NH 03104-4125 - Phone
- (603) 695-2500
- Fax
- (603) 640-1228
- NPI assigned
- Nov 8, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 223207 | MA | |
| Pediatric Cardiology Physician | 2080P0202X | 12135 | NH | Primary |
Addresses
Primary practice location
100 Hitchcock Way
Manchester, NH 03104-4125
Mailing address
789 Central Ave
3Rd Floor
Dover, NH 03820-2526
Phone (603) 740-2366
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2104067 | Medicaid | MA | |
| 30204231 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Maryland School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dartmouth-Hitchcock Clinic
Practice addresses (Care Compare)
1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000
100 Hitchcock Way
Manchester, NH 03104-4125
Phone (603) 695-2500
Hospital & facility affiliations
- Mary Hitchcock Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Androscoggin Valley Hospital Inc | Current | Accepting new patients | |
| Androscoggin Valley Hospital, Inc. | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Pediatric Cardiology | Current | Accepting new patients |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Boston Childrens Heart Foundation Inc | Pediatric Cardiology | Past | Accepting new patients |
Locations
300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956
25 S River Rd
Bedford, NH 03110
Phone (603) 626-4392
7 Page Hill Rd
Berlin, NH 03570
Phone (603) 326-5827
59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200
253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
789 Central Ave
Fl 3
Dover, NH 03820
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
100 Hitchcock Way
Manchester, NH 03104
Phone (603) 629-1870
21 E Hollis St
Nashua, NH 03060
Phone (603) 577-4200
Interoperability endpoints
- tjohnson13836@direct.dartmouth-hitchcock.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- General Practice Physician
- Berlin, NH
- NPI 1679526644
-
- Family Medicine Physician
- Manchester, NH
- NPI 1386697803
Pediatric Cardiology
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- Medicare Defined Swing Bed Hospital Unit
- Berlin, NH
- NPI 1134266679
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1629788237
-
- Psychiatric Hospital
- Hampstead, NH
- NPI 1699584219
-
- Pediatric Cardiology Physician
- Boston, MA
- NPI 1982680922
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1629788237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1467433342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "789 CENTRAL AVE",
"address_2": "3RD FLOOR",
"city": "DOVER",
"state": "NH",
"postal_code": "038202526",
"telephone_number": "603-740-2366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HITCHCOCK WAY",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031044125",
"telephone_number": "603-695-2500",
"fax_number": "603-640-1228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "THOMAS",
"middle_name": "BRYAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "223207",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "NH",
"license": "12135",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2104067",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30204231",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.