NPI
Bryan Johnson
NPI 1205205879
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2015-09-24
- Last updated
- 2025-01-03
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Specialties
Licenses
- License WA
- MC61000726
- License WA
- PY61040080
Location
- Practice location
- 10414 Beardslee Blvd
- City
- Bothell WA
- Postal code
- 98011-3205
- Phone
- (425) 486-0658
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Bothell, WA. 2,069 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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