Active NPI
Philip L Johnson Jr., M.D., PH.D.
- Cardiovascular Disease Physician
- Bessemer, AL
National Provider Identifier
1669633921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 30170
- Practice address
- 995 9TH Ave SW
Bessemer, AL 35022 - Phone
- (205) 481-7000
- NPI assigned
- Jun 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 30170 | AL | Primary |
Addresses
Primary practice location
995 9TH Ave SW
Bessemer, AL 35022
Mailing address
1500 1St Ave N Unit 72
Birmingham, AL 35203-1604
Phone (205) 202-0631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30170 | AL | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527724800000",
"number": "1669633921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 1ST AVE N UNIT 72",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352031604",
"telephone_number": "205-202-0631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 9TH AVE SW",
"city": "BESSEMER",
"state": "AL",
"postal_code": "35022",
"telephone_number": "205-481-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "PHILIP",
"middle_name": "L",
"name_suffix": "Jr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-19",
"last_updated": "2018-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AL",
"license": "30170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bessemer, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.