Robert Gordon Johnson, MD

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

G7249 Issued in TX

Practice address

4410 Medical Dr
Suite 610
San Antonio, TX 78229-6306

Phone

(210) 614-2453

Fax

(210) 614-4457

NPI assigned

Aug 9, 2005

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 TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Legent Physician Group PLLC

  • Orthopaedic Surgery Physician
  • Plano, TX
  • NPI 1265142038
  Medicare reassignment NPD
• Neurosurgical Associates of San Antonio, P.a.

  • Neurological Surgery Physician
  • San Antonio, TX
  • NPI 1447295753

  Orthopaedic Surgery of the Spine

  Medicare reassignment NPD
• Neurosurgical Associates of San Antonio, P.a.

  • Neurological Surgery Physician
  • San Antonio, TX
  • NPI 1861796088

  Orthopaedic Surgery of the Spine

  NPD

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1689675142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 MEDICAL DR",
            "address_2": "SUITE 610",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296306",
            "telephone_number": "210-614-2453",
            "fax_number": "210-614-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 MEDICAL DR",
            "address_2": "SUITE 610",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296306",
            "telephone_number": "210-614-2453",
            "fax_number": "210-614-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "GORDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "G7249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133865903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rahman C. Johnson, M.D.
• Reggie Johnson
• Reychell N Johnson
• Rinna C Johnson, M.D.
• Robert David Johnson, M.D.
• Robert Keyirce Johnson, MD
• Robert Milton Johnson, DO
• Robert Paul Johnson, DDS, MSD
• Roger D Johnson, PTA
• Russell Ivan Johnson, DDS

• Orthopaedic Surgery of the Spine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Orthopaedic Surgery of the Spine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.