Brenda L Johnson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA05858 Issued in TX

Practice address

801 W Interstate 20 Ste 132
Arlington, TX 76017-5851

Phone

(682) 274-8181

Fax

(817) 764-0175

NPI assigned

Sep 26, 2008

Last updated

Oct 12, 2022By the provider in NPPES

Sex

Female

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 3

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brenda.johnson1@txo.ikm.direct-ci.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Health Express Clinics Network PLLC

  • Clinic/Center
  • Carrollton, TX
  • NPI 1164888632
  Medicare reassignment
• Medical Clinic of North Texas, PLLC

  dba USMD Physician Services

  • Internal Medicine Physician
  • Arlington, TX
  • NPI 1033167234
  Medicare reassignment
• HP Health & Wellness PLLC

  • Family Medicine Physician
  • Arlington, TX
  • NPI 1578952800
  NPD
• Medical Clinic of North Texas PLLC

  • Radiation Oncology Clinic/Center
  • Arlington, TX
  • NPI 1184131625
  NPD
• Medical Clinic of North Texas, PLLC

  dba USMD Physician Services

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1912955030

  Physician Assistant

  NPD
• River City Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1164645297
  NPD (past)

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1538319587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W INTERSTATE 20 STE 132",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175851",
            "telephone_number": "682-274-8181",
            "fax_number": "817-764-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W INTERSTATE 20 STE 132",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175851",
            "telephone_number": "682-274-8181",
            "fax_number": "817-764-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRENDA",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05858",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA05858",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297908003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297908005",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8100NR",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Johnson
• Ashley Johnson
• Bailey Jewel Johnson, PT, DPT
• Bessie M Johnson
• Breana Johnson
• Carlos Martin Johnson, LPC-A
• Chelsea Nicole Johnson
• Christopher Johnson, DDS
• Elizabeth Ann Johnson, AUD, FAAA
• Erin Johnson

• Physician Assistant in Arlington, TX
• Providers in Arlington, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.