Susan S Johnson MD and Brian L Johnson MD PC

Organization Active NPI Internal Medicine Physician · Columbia, MO

NPI 1992701700 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1992701700
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
SUSAN S JOHNSON MD AND BRIAN L JOHNSON MD PC
Practice address
103 Ripley St
Columbia, MO 65201-5738
Phone
(573) 442-9944
Fax
(573) 442-5345
NPI assigned
Jun 27, 2005
Organization subpart
No

Authorized official

Name
Brian L Johnson, MD
Title
Physician
Phone
(573) 442-9944

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

4700 Forum Blvd
Columbia, MO 65203
Phone (573) 449-4936

204 Peach Way
Ste D
Columbia, MO 65203

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X MO Yes

Addresses

Primary practice location

103 Ripley St
Columbia, MO 65201-5738

Mailing address

4700 Forum Blvd
Columbia, MO 65203-5654
Phone (573) 449-4936

Other identifiers

IdentifierTypeStateIssuer
DB6476OtherMORAILROAD MEDICARE

Other providers in Columbia, MO

All providers in Columbia, MO · Internal Medicine Physician in Missouri

Sources for this page

Verify at the official NPI Registry.