Philip N Johnson, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

6705 Issued in AL

Practice address

1515 6TH Ave S
Birmingham, AL 35233-1601

Phone

(205) 279-2860

Fax

(205) 252-0197

NPI assigned

Jul 5, 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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Jefferson Clinic, P.C.

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1124086509

  Surgery

  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1780615005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55845",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555845",
            "telephone_number": "205-279-2860",
            "fax_number": "205-252-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331601",
            "telephone_number": "205-279-2860",
            "fax_number": "205-252-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PHILIP",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "6705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000003262",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Johnson
• Nathan Warren Johnson, D,M.D
• Olivia Avalon Johnson, DPT
• Oneshia Johnson
• Paul Leonard Johnson Jr., M.ED., LMFT
• Phoebe Ryanne Reynolds Johnson, CRNP
• Pinkie Rodella Johnson, CRT
• Richard Alexander Johnson, PA-C
• Robert Johnson, MD
• Robert J Johnson Jr., M.D,

• Surgery Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.