DR. BRANDON TERON JOHNSON (NPI# 1003173436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003173436 |
| Entity Type | Individual |
| Full Name | DR. BRANDON TERON JOHNSON |
| Credential | MD |
| Practice Address |
4880 Ne Goodview Cir Lees Summit MO 64064-1996 |
| Mailing Address |
3340 Ne Ralph Powell Rd Ste B Lees Summit MO 64064-2368 |
| Practice Telephone | 8164784200 |
| Practice Fax Number | 8164780507 |
| Mailing Telephone | 8168752599 |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2018-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2800 E Rock Haven Rd, Harrisonville, MO 647014411 | 8163805888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214813 | Brandon Lawrence Johnson | Nurse Practitioner | 1300 E Marshall St Fl 10, Richmond, VA 23298-5028 | 2020-08-05 |
| 1336766344 | Brandon Scott Johnson | Physician Assistant | 1540 Oliver Ave Apt C, San Diego, CA 92109-5595 | 2020-06-25 |
| 1477049500 | Brandon Johnson | Dentist | 15534 Ranch Road 620 N Ste 300, Austin, TX 78717-5277 | 2018-07-01 |
| 1366950347 | Brandon Johnson | Physical Therapist | 9328 Outer Banks Ave, Las Vegas, NV 89149-0195 | 2018-01-12 |
| 1578086575 | Brandon Ross Johnson | Occupational Therapist | 1 Loogootee Plz, Loogootee, IN 47553-5757 | 2017-07-21 |
| 1386074540 | Brandon Scott Johnson | Specialist/Technologist | 48380 Us 52 N, Misenheimer, NC 28109 | 2013-11-25 |
| 1518392364 | Brandon Johnson | Specialist/Technologist | 56 Thompson Cir, Newark, DE 19711-7129 | 2013-09-12 |
| 1528316460 | Brandon Johnson | Internal Medicine | 350 N Ervay St Apt 2806, Dallas, TX 75201-3914 | 2012-08-27 |
| 1205192952 | Brandon Johnson | Speech-Language Pathologist | 4337 S Ranger Trl, Gilbert, AZ 85297-9733 | 2012-04-06 |
| 1720363229 | Brandon L Johnson | Counselor | 21041 Parthenia Ave, # 207, Canoga, CA 91325 | 2011-10-15 |
| Street Address |
4880 NE GOODVIEW CIR |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64064-1996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740201599 | Mark Owen Covington | Otolaryngology | 4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 | 2006-07-21 |
| 1255959771 | Madison Marie Larson | Audiologist | 4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 | 2020-07-10 |
| 1083241699 | Christa Hoover | Physician Assistant | 4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 | 2020-03-24 |
| 1508413279 | Abigail Dinkel | Audiologist | 4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 | 2019-08-19 |
| 1538714696 | Lorann Brown | Audiologist | 4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 | 2019-08-06 |
| 1689229809 | Carly Shaw | Nurse Practitioner | 4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 | 2019-08-05 |
| 1174001457 | Teresa Burns | Speech-Language Pathologist | 4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 | 2018-07-30 |
| 1760912018 | Julie Bangert | Audiologist | 4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 | 2017-06-19 |
| 1033649306 | Allison Peter | Audiologist | 4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 | 2017-06-19 |
| 1295265973 | Kelsey Nicole Breedlove | Audiologist | 4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 | 2017-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647704 | James Andrew Kleoppel | Dentist | 3320 Ne Ralph Powell Rd., Lee's Summit, MO 64064 | 2020-07-30 |
| 1255991238 | Lee Summit Asc Kc LLC | Clinic/Center | 2861 Ne Independence Avenue, Suite 101, Lee's Summitt, MO 64064 | 2019-06-20 |
| 1073014676 | Sonya Renee Aversman | Dietitian, Registered | 3680 Ne Akin Dr, Suite 134, Lee's Summit, MO 64064 | 2018-02-28 |
| 1407398365 | Lakewood Chiropractic, P.C. | Chiropractor | 731 Ne Lakewood Boulevard, Lee's Summit, MO 64064 | 2016-11-09 |
| 1417403015 | Mikaela Groff | Dietitian, Registered | 401 Ne Grant Ct, Lee's Summit, MO 64064 | 2016-09-01 |
| 1952756405 | Sarah C. Vignery | Speech-Language Pathologist | 3600 Ne Ralph Powell Rd. Suite E, Lee's Summit, MO 64064 | 2016-05-03 |
| 1790146058 | Aneliya H Hristova | Physician Assistant | 3601 Ne Ralph Powell Road., Lee's Summit, MO 64064 | 2016-03-15 |
| 1821469982 | Alysse Barrett Doane | Nurse Practitioner | 2714 Ne Mcbaine Drive, Lees Summit, MO 64064 | 2015-10-15 |
| 1346638814 | Donna Thomas Dds, PC | Dentist | 3359 Ne Ralph Powell Rd, Lee's Summit, MO 64064 | 2015-01-06 |
| 1437579208 | Gregory Lohr | Dentist | 2931 Ne Independence Ave, Lees Summit, MO 64064 | 2014-04-21 |
| Find all providers in zip 64064 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427209717 | Piper R Mcleod | Specialist | 706 Se 3rd St, Lees Summit, MO 64063-2815 | 2008-10-05 |
| 1821026071 | Debra Lynn Williams | Specialist | 701 Nw Commerce Dr, Lees Summit, MO 64086-5703 | 2006-06-28 |
| 1497790919 | Midwest Chiropractic Radiology Service | Specialist | 706 E Langsford Rd, Lees Summit, MO 64063-2979 | 2006-06-18 |
| 1477527877 | John C Ellis | Specialist | 4880 Ne Goodview Circle, Lees Summit, MO 64064 | 2006-02-14 |
| 1649273541 | Festus J Krebs IIi | Specialist | 296 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2005-05-24 |
| 1831647262 | Melanie Mobley | Specialist | 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2016-09-14 |
| 1710348826 | Rhonda Newton | Specialist | 923 Ne Woods Chapel Rd, Ste. 373, Lees Summit, MO 64064-1989 | 2016-03-16 |
| 1245460989 | In Motion Physical Therapy and Sports Rehabilitation | Specialist | 3601 Ne Ralph Powell Rd, Lees Summit, MO 64064-2357 | 2009-07-15 |
| 1184762270 | Surgical Services, P.a. | Specialist | 1741 Ne Douglas St, Suite 102, Lees Summit, MO 64086-4703 | 2007-02-02 |
| 1336181734 | Rockhill Women's Care, Inc | Specialist | 20 Ne Saint Lukes Blvd, Suite 310, Lees Summit, MO 64086-6002 | 2006-06-11 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64064 |
Please comment or provide details below to improve the information on DR. BRANDON TERON JOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.