Individual provider Active NPI

Brandon L Johnson

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1578068193
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134913 Issued in TX
Practice address
1810 E Sahara Ave
Las Vegas, NV 89104-3707
Phone
(832) 549-6655
Fax
(702) 760-1940
NPI assigned
Mar 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134913 TX Primary

Addresses

Primary practice location

1810 E Sahara Ave
Las Vegas, NV 89104-3707

Mailing address

1810 E Sahara Ave
Las Vegas, NV 89104-3707
Phone (832) 549-6655

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180918000448 TX Practitioner - Nurse Practitioner 2567713449 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Webster Rehabilitation Specialists LLCGroup PAC ID 7315201910, 7 clinicians

Practice addresses (Care Compare)

500 N Kobayashi
Suite C
Webster, TX 77598-4722
Phone (281) 747-9313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP134913TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine Family Medicine CurrentSince Oct 1, 2018 Accepting new patients
Puopolo MD PC Family Medicine CurrentSince Jan 27, 2026 Accepting new patients
Lifemd Southern Patient Medical Care PC Family Medicine CurrentSince Jan 27, 2026 Accepting new patients
Lifemd Atlantic Patient Medical Care PC Family Medicine CurrentSince Jan 31, 2026 Accepting new patients
Space City Medical Family Current Accepting new patients
Baylor College of Medicine CurrentSince Oct 1, 2018 Accepting new patients
New York Patient Medical Care PC CurrentSince Feb 26, 2026 Accepting new patients
Telemed Now, PLLC Current Accepting new patients

Locations

875 N Michigan Ave
Fl 31
Chicago, IL 60611
Phone (312) 794-7730

100 W Big Beaver Rd
Ste 200
Troy, MI 48084
Phone (248) 552-8195

525 N Tryon St
Ste 1600
Charlotte, NC 28202
Phone (855) 478-8208

1810 E Sahara Ave
Las Vegas, NV 89104
Phone (702) 886-0961

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

6620 Main St
Ste 1325
Houston, TX 77030
Phone (713) 798-4001

Interoperability endpoints

  • Direct secure messaging: brandon.johnson.1@14883.direct.athenahealth.com
  • Direct secure messaging: brandon.johnson@337577483108356.direct.elationemr.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1578068193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 E SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043707",
            "telephone_number": "832-549-6655",
            "fax_number": "832-549-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 E SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043707",
            "telephone_number": "832-549-6655",
            "fax_number": "702-760-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRANDON",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.