Bruce G. Johnson, Dopc

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

BRUCE G. JOHNSON, DOPC

Practice address

30550 Utica Rd
Roseville, MI 48066-1528

Phone

(586) 771-0290

Fax

(586) 771-5450

NPI assigned

Jan 31, 2007

Last updated

Apr 16, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bruce Gilber Johnson, DO

Title

President

Phone

(586) 771-0290

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1841337508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30550 UTICA RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480661528",
            "telephone_number": "586-771-0290",
            "fax_number": "586-771-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30550 UTICA RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480661528",
            "telephone_number": "586-771-0290",
            "fax_number": "586-771-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE G. JOHNSON, DOPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "GILBER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-771-0290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Brass, CNM
• Rebecca L Bremer, DO
• Kelsey Anne Brengman, PA-C
• Robert Brinker, OD
• Lisa Gaye Brooks, LLP
• Henry Gasson Bryan, D.D.S.
• David Peter Bryk, DDS
• Emanuel Buggs
• Brandon Bulmer, NP
• Louise Michelle Burgan, MSW

• Geriatric Medicine (Internal Medicine) Physician in Roseville, MI
• Providers in Roseville, MI by specialty
• Geriatric Medicine (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.