Dr. Bradley S Johnson
Oral and Maxillofacial Surgeon
1551 E Morris Blvd
Morristown
, Tennessee 37813-5729
Dr. Bradley S Johnson
Oral and Maxillofacial Surgeon
1551 E Morris Blvd
Morristown
, Tennessee 37813-5729
(423) 587-8382
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Bradley S Johnson
- 1551 E Morris Blvd
- Morristown, TN
- Zip : 37813-5729
- Fax : (423) 587-8382
- Phone : (423) 587-8383
Second Address
- Dr. Bradley S Johnson
- 1551 E Morris Blvd
- Morristown, TN
- Zip : 37813-5729
- Fax : (423) 587-8382
- Phone : (423) 587-8383
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 8950 | TN |
National Provider Identifier
| NPI | 1023251642 |
|---|---|
| Provider Name | Dr. Bradley S Johnson |
| First Address | Morristown, TN 37813-5729 |
| Second Address | Morristown, TN 37813-5729 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2009 |
| Last Update Date | 21/12/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 151-3459 | (05) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.