Active NPI
David Bryan Johnson, M.D.
- Cardiovascular Disease Physician
- The Dalles, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD208272
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD208272 | OR | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Columbia Medical Center | Current | Accepting new patients | |
| Healthcare for the Mid-Columbia Region | Current | Accepting new patients | |
| Mid-Columbia Medical Center | Current | 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 | Past | 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
- 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.
-
dba Adventist Health Columbia Gorge
- General Practice Physician
- The Dalles, OR
- NPI 1053409599
-
- Emergency Medicine Physician
- The Dalles, OR
- NPI 1497797856
-
dba Adventist Health Columbia Gorge
- Multi-Specialty Clinic/Center
- The Dalles, OR
- NPI 1366809048
-
dba Adventist Health Columbia Gorge
- Rural Health Clinic/Center
- The Dalles, OR
- NPI 1154351336
-
dba Adventist Health Columbia Gorge
- Rural Health Clinic/Center
- The Dalles, OR
- NPI 1407887052
-
dba Adventist Health Columbia Gorge
- Multi-Specialty Clinic/Center
- The Dalles, OR
- NPI 1992094817
-
- Cardiovascular Disease Physician
- Grand Rapids, MI
- NPI 1932167707
-
- Cardiovascular Disease Physician
- Grand Rapids, MI
- NPI 1174504021
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventist Health Columbia Gorge
- Critical Access Hospital Clinic/Center
- The Dalles, OR
- NPI 1306842752
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
-
dba Skyline Hospital
- Critical Access Hospital
- White Salmon, WA
- NPI 1760455687
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.