Active NPI
Gabrielle Johnson, MD MSCI
- Neurological Surgery Physician
- Saint Louis, MO
National Provider Identifier
1821728098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 2023023845
- Practice address
- 1 Barnes Jewish Plaza
Saint Louis, MO 63110-1010 - Phone
- (314) 362-3570
- NPI assigned
- Jun 12, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 2023023845 | MO | Primary |
Addresses
Primary practice location
1 Barnes Jewish Plaza
Saint Louis, MO 63110-1010
Mailing address
660 S Euclid Ave
CB 8057
Saint Louis, MO 63110-1503
Phone (314) 362-3570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230808002060 | MO | Order and Referring Only - Neurosurgery | 3779945787 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1821728098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S EUCLID AVE",
"address_2": "CB 8057",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101503",
"telephone_number": "314-362-3570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BARNES JEWISH PLAZA",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101010",
"telephone_number": "314-362-3570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "GABRIELLE",
"credential": "MD MSCI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-12",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MO",
"license": "2023023845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.