Individual provider Active NPI

Brian Christopher Johnson, M.D.

  • Family Medicine Physician
  • Cedar City, UT
National Provider Identifier
1609308717
Registry record updated May 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6435938-1205 Issued in UT
Practice address
110 W 1325 N Ste 260
Cedar City, UT 84721-8101
Phone
(435) 586-7676
Fax
(435) 586-2290
NPI assigned
Mar 29, 2017
Last updated
May 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6435938-1205 UT Primary

Addresses

Primary practice location

110 W 1325 N Ste 260
Cedar City, UT 84721-8101

Mailing address

110 W 1325 N Ste 260
Cedar City, UT 84721-8101
Phone (435) 586-7676

Other practice location 1

1250 E 3900 S
Suite 260
Salt Lake City, UT 84124-1348
Phone (801) 265-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20200814000774 UT Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 3072881432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
University of Utah School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedar Ridge Family MedicineGroup PAC ID 3971553884, 14 clinicians

Practice addresses (Care Compare)

110 W 1325
Suite 200
Cedar City, UT 84721-8179
Phone (435) 586-7676

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Ridge Family Medicine Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
Utah Healthcare Institute Inc Family Medicine PastSince Jul 1, 2000 Accepting new patients

Locations

110 W 1325 N
Ste 200
Cedar City, UT 84721
Phone (435) 586-7676

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22054/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651363200000",
    "number": "1609308717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W 1325 N STE 260",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847218101",
            "telephone_number": "435-586-7676",
            "fax_number": "435-586-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W 1325 N STE 260",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847218101",
            "telephone_number": "435-586-7676",
            "fax_number": "435-586-2290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E 3900 S",
            "address_2": "Suite 260",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841241348",
            "country_code": "US",
            "telephone_number": "801-265-2000",
            "fax_number": "801-265-2008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRIAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "6435938-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

Verify at the official NPI Registry.