Charles Bissell Johnson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18651 Issued in CO

Practice address

8402 Clay Street
Westminster, CO 80031-3846

Phone

(303) 426-0928

Fax

(303) 426-9771

NPI assigned

Aug 31, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1649381997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8402 CLAY STREET",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313846",
            "telephone_number": "303-426-0928",
            "fax_number": "303-426-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8402 CLAY STREET",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313846",
            "telephone_number": "303-426-0928",
            "fax_number": "303-426-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHARLES",
        "middle_name": "BISSELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "18651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01186519",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanne Bancroft DDS PC (JB Dental)
• John K. Stanton, D.O., PC (Health Matters, PC)
• Hillary Johns
• Adam Johnson, DPT
• Alexandria Margaret Johnson, M.A. CCC-SLP
• Christopher Michael Johnson, DC
• Clifford Dean Johnson, M.D.
• Conrad C Johnson, D.M.D. M.S.D.
• Drake Johnson
• Jeremiah Roger Johnson, PT, DPT, ATC

• Internal Medicine Physician in Westminster, CO
• Providers in Westminster, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.