Jon Bradley Johnson, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

021605 Issued in LA

Practice address

2516 Broadmoor Blvd
Monroe, LA 71201-2988

Phone

(318) 387-9420

Fax

(318) 323-8216

NPI assigned

Jun 20, 2006

Last updated

Jun 12, 2019By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Urology

Education

Louisiana State University School of Medicine in Shreveport, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baton Rouge Clinic, a Medical CorporationGroup PAC ID 1254317001, 285 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fmol Health St Francis Hospital, Monroe, LA, CCN 190125
• Monroe Surgical Hospital Hospital, Monroe, LA, CCN 190245
• Morehouse General Hospital Hospital, Bastrop, LA, CCN 190116

Merit-based Incentive Payment System (MIPS)

Final score

81.51 of 100Reported as apm

Quality

60.04

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jjohnson16477@direct.casso.us.com

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.

• Baton Rouge Clinic, a Medical Corporation

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1871546911

  Urology

  Medicare reassignment Care Compare group NPD
• Affinity Health Group, LLC

  • Family Medicine Physician
  • Monroe, LA
  • NPI 1023291226

  Urology

  Medicare reassignment NPD
• Urology Clinic of Northeast Louisiana - a Medical Corporation

  dba Urology Clinic

  • Urology Physician
  • Monroe, LA
  • NPI 1760418396
  Authorized official Same address or phone
• Affinity Health Group, LLC

  dba Affinity Orthopaedic Clinic

  • Orthopaedic Surgery Physician
  • Monroe, LA
  • NPI 1861879249
  NPD
• Baton Rouge Clinic, a Medical Corporation

  dba Baton Rouge Clinic Eye Care

  • Ophthalmology Physician
  • Baton Rouge, LA
  • NPI 1528941655
  NPD

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

• Monroe Surgical Hospital, LLC

  • General Acute Care Hospital
  • Monroe, LA
  • NPI 1225031495
  Care Compare affiliation
• Morehouse General Hospital

  • General Acute Care Hospital
  • Bastrop, LA
  • NPI 1003898313
  Care Compare affiliation
• St Francis Medical Center, Inc

  • General Acute Care Hospital
  • Monroe, LA
  • NPI 1295723229
  Care Compare affiliation

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1629014626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DESIARD ST",
            "address_2": "SUITE 355",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017319",
            "telephone_number": "318-807-7875",
            "fax_number": "318-812-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 BROADMOOR BLVD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012988",
            "telephone_number": "318-387-9420",
            "fax_number": "318-323-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JON",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "LA",
            "license": "021605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1698326",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Monique Johnson
• Deidrick Johnson
• Jasmine Johnson
• Jennifer Johnson
• Johnnette Johnson
• Kasey Lynn Johnson
• Katie Elizabeth Johnson, RDN, LDN
• Katrina Johnson
• Keyanna Johnson
• Kimberly M Johnson, LMFT

• Urology Physician in Monroe, LA
• Providers in Monroe, LA by specialty
• Urology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.