Individual provider Active NPI

David Bryan Johnson, M.D.

  • Cardiovascular Disease Physician
  • The Dalles, OR
National Provider Identifier
1952382137
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD208272 Issued in OR
Practice address
551 Lone Pine Blvd
The Dalles, OR 97058-9403
Phone
(541) 506-6530
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD208272 OR Primary

Addresses

Primary practice location

551 Lone Pine Blvd
The Dalles, OR 97058-9403

Mailing address

551 Lone Pine Blvd
The Dalles, OR 97058-9403
Phone (541) 506-6530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20210924002219 OR Practitioner - Cardiovascular Disease (Cardiology) 1557456233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Ohio State University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Columbia Medical CenterGroup PAC ID 3779487251, 99 clinicians

Practice addresses (Care Compare)

1805 E 19TH St
The Dalles, OR 97058-3365
Phone (541) 296-2201

1810 E 19TH St
The Dalles, OR 97058-3388

1825 E 19TH St
The Dalles, OR 97058-3365
Phone (541) 296-7811

33 Nichols Pkwy
Hood River, OR 97031-3121
Phone (541) 308-1010

551 Lone Pine Blvd
The Dalles, OR 97058-9404

PO Box
The Dalles, OR 97058

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD208272ORMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Medical Center CurrentSince Sep 1, 2021 Accepting new patients
Healthcare for the Mid-Columbia Region Current Accepting new patients
Mid-Columbia Medical Center CurrentSince Sep 1, 2021 Accepting new patients
Mid-Columbia Medical Center Past Accepting new patients
Mid-Columbia Medical Center Past Accepting new patients
Computer Health Services PC Cardiovascular Disease PastSince Mar 1, 2000 Accepting new patients
Mid-Columbia Medical Center Past Accepting new patients
West Michigan Heart Cardiovascular Disease Past Accepting new patients

Locations

33 Nichols Pkwy
Hood River, OR 97031
Phone (541) 386-2441

1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251

1810 E 19th St
Ste 211
The Dalles, OR 97058
Phone (503) 292-1400

551 Lone Pine Blvd
The Dalles, OR 97058
Phone (541) 296-7202

1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201

Interoperability endpoints

  • Direct secure messaging: djohnson134972@direct.ohsu.edu

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1952382137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 LONE PINE BLVD",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970589403",
            "telephone_number": "541-506-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 LONE PINE BLVD",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970589403",
            "telephone_number": "541-506-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVID",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "MD208272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

Verify at the official NPI Registry.