Organization Active NPI

Susan S Johnson MD and Brian L Johnson MD PC

  • Internal Medicine Physician
  • Columbia, MO
National Provider Identifier
1992701700
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 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
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MO Primary

Addresses

Primary practice location

103 Ripley St
Columbia, MO 65201-5738

Mailing address

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

National Provider Directory

National Provider Directory

Locations

103 Ripley St
Columbia, MO 65201
Phone (573) 442-9944

204 Peach Way
Ste D
Columbia, MO 65203

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992701700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 FORUM BLVD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035654",
            "telephone_number": "573-449-4936",
            "fax_number": "573-449-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 RIPLEY ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015738",
            "telephone_number": "573-442-9944",
            "fax_number": "573-442-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN S JOHNSON MD AND BRIAN L JOHNSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "573-442-9944",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.