Bradley N Johnson, PHYSCIAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

04136 Issued in LA

Practice address

309 S Louisiana St
Plain Dealing, LA 71064-3431

Phone

(318) 326-7120

Fax

(318) 326-7120

NPI assigned

Jun 27, 2005

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790781516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 OLD PLAIN DEALING RD",
            "city": "PLAIN DEALING",
            "state": "LA",
            "postal_code": "710643424",
            "telephone_number": "318-326-5102",
            "fax_number": "318-326-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S LOUISIANA ST",
            "city": "PLAIN DEALING",
            "state": "LA",
            "postal_code": "710643431",
            "telephone_number": "318-326-7120",
            "fax_number": "318-326-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRADLEY",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "PHYSCIAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "04136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Plain Dealing, LA
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.