Bradley D Johnson, DO

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

45555 Issued in MN

Practice address

9825 Hospital Dr Ste 203
Maple Grove, MN 55369-4772

Phone

(763) 233-5755

NPI assigned

Jan 27, 2006

Last updated

Aug 15, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

OtolaryngologyAlso: Allergy/Immunology, Plastic and Reconstructive Surgery

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oakdale Ear, Nose and Throat Clinic, P.a.Group PAC ID 9133209802, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Memorial Health Hospital Hospital, Robbinsdale, MN, CCN 240001
• Buffalo Hospital Hospital, Buffalo, MN, CCN 240076

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

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.

• Oakdale Ear, Nose & Throat Clinic, P.a.

  dba Minnesota ENT

  • Otolaryngology Physician
  • Golden Valley, MN
  • NPI 1598976326
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Allina Health System

  dba Buffalo Hospital

  • General Acute Care Hospital
  • Buffalo, MN
  • NPI 1538123567
  Care Compare affiliation
• North Memorial Health Care

  dba North Memorial Ambulance Service

  • Ambulance
  • Brooklyn Center, MN
  • NPI 1538195912

  Hospital

  Care Compare affiliation
• North Memorial Health Care

  dba North Memorial Health Specialty Center - Robbinsdale

  • Medical Specialty Clinic/Center
  • Robbinsdale, MN
  • NPI 1699953000

  Hospital

  Care Compare affiliation
• North Memorial Health Care

  • Clinic/Center
  • Blaine, MN
  • NPI 1841995552

  Hospital

  Care Compare affiliation
• North Memorial Health Care

  dba North Memorial Health Hospital

  • General Acute Care Hospital
  • Robbinsdale, MN
  • NPI 1851344907
  Care Compare affiliation

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1538130844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 GOLDEN VALLEY RD",
            "address_2": "STE 200",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "55427",
            "telephone_number": "763-233-5755",
            "fax_number": "763-233-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 HOSPITAL DR STE 203",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694772",
            "telephone_number": "763-233-5755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3366 Oakdale Ave N",
            "address_2": "150",
            "address_purpose": "LOCATION",
            "city": "Robbinsdale",
            "state": "MN",
            "postal_code": "554222948",
            "country_code": "US",
            "telephone_number": "763-520-7840 x7233",
            "fax_number": "763-520-1578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8301 Golden Valley Rd",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Golden Valley",
            "state": "MN",
            "postal_code": "55427",
            "country_code": "US",
            "telephone_number": "763-233-5755",
            "fax_number": "763-233-5782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRADLEY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "45555",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MN",
            "license": "45555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "323630700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnson Chiropractic Clinic of Maple Grove, Inc
• Alizandra Louise Johnson, LADC
• Anna Shkolnik Johnson, LICSW
• Barbara Johnson
• Bonita Rae Johnson, L.M.F.T.
• Catherine Nicole Breuer Johnson, LPCC
• Geniyah Johnson
• Grace Johnson, LICSW
• Janell Ruth Johnson
• Jean Johnson

• Otolaryngology/Facial Plastic Surgery Physician in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.

Verify at the official NPI Registry.