BRIAN CHRISTOPHER JOHNSON


Address: 109 Montgomery Dr, Anderson, SC 29621-3333
Phone: 8642245700

BRIAN CHRISTOPHER JOHNSON (NPI# 1093727653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093727653
Entity Type Individual
Full Name BRIAN CHRISTOPHER JOHNSON
Credential PA-C
Practice Address 109 Montgomery Dr
Anderson
SC 29621-3333
Practice Telephone 8642245700
Practice Fax Number 8642260680
Mailing Telephone 8642245700
Mailing Fax Number 8642260680
Enumeration Date 2006-08-12
Last Update Date 2016-04-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
961 SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC 2251PA 05
SC STATE LICENSE NUMBER 961 01
SC RR MEDICARE P0161435 01

Other Providers BRIAN JOHNSON

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1467979013 Brian R Johnson Jr. Massage Therapist 275 Sw 160th St Ste 201, Burien, WA 98166-3003 2017-08-24
1851817316 Brian Johnson Driver 2919 Providence Creek Rd, North Chesterfield, VA 23236-5267 2017-08-16
1033630330 Brian Bradley Johnson Pediatrics Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 2017-06-28
1356870158 Brian Johnson Private Vehicle 52 Saint Pauls Rd, Warsaw, VA 22572-4436 2017-06-06
1538601554 Brian David Johnson Occupational Therapist 7370 Cabot Ct Ste 101, Melbourne, FL 32940-8263 2016-11-08
1548630122 Brian Johnson Technician, Cardiology 1163 Bridge Mill Ave, Canton, GA 30114-7713 2015-09-25
1093111817 Brian Johnson Home Health 9446 Crockett Pass, Hamilton, OH 45011-9054 2014-11-05

Office Location

Street Address 109 MONTGOMERY DR
City ANDERSON
State SC
Zip Code 29621-3333

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154381465 Larry Steve Davidson Neurological Surgery 109 Montgomery Dr, Anderson, SC 29621-3333 2006-03-23
1821488297 Anmed Health Neurological Surgery 109 Montgomery Dr, Anderson, SC 29621-3333 2015-01-23
1356449359 Piedmont Spine and Neurosurgical Group, P.a. Neurological Surgery 109 Montgomery Dr, Anderson, SC 29621-3333 2006-09-21
1649282245 Aaron C Macdonald Neurological Surgery 109 Montgomery Dr, Anderson, SC 29621-3333 2006-08-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114574241 Kathryn L Harwick Social Worker 3030 Sc-81, Anderson, SC 29621 2019-08-22
1326517194 Ashlea Bronwen Bates Nurse Practitioner 3424 Clemson Blvd., Anderson, SC 29621 2018-11-21
1770051708 Bailee Vernon Mccarley Nurse Practitioner 800 Fant St, Anderson, SC 29621 2018-11-07
1790278893 Morgan Cutts Speech-Language Pathologist 126 Broadbent Way, Suite A, Anderson, SC 29621 2018-06-13
1427546233 Amanda Coker Burnette Family Medicine 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 2018-04-26
1205342169 Robert Allen Dameron Jr. Orthopaedic Surgery 130 Longview Drive, Anderson, SC 29621 2017-12-14
1578085411 Michael Jason Bell Contractor 520 Hwy 29 Bypass N, Anderson, SC 29621 2017-07-12
1639629983 Todd E. Hamilton Dentist 1112 Cornelia Road, Anderson, SC 29621 2016-10-11
1760939110 Crystal Vaughn Nurse Practitioner Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 2016-09-01
1992151328 Veronica Williams Non-emergency Medical Transport (VAN) 2314 Old Williamston Road, Anderson, SC 29621 2016-05-04
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437400363 William Travis Jeffcoat Physician Assistant 109 Health Way, Anderson, SC 29621-3333 2012-10-02
1972958338 Shelley Marie Floyd Physician Assistant 800 N Fant St, Anderson, SC 29621-5708 2016-05-04
1609275619 David E Tann Physician Assistant 2610 Enterprise Dr, Anderson, IN 46013-9684 2014-08-14
1386651933 Joseph Greg Williamson Physician Assistant 2610 Enterprise Dr, Anderson, IN 46013-9684 2006-08-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689140451 Nichole Lemay Physician Assistant 9 Richland Medical Park Dr Ste 640, Columbia, SC 29203 2018-10-19
1588183909 John Edward Carpenter Physician Assistant 50 E Hospital St Ste 6, Manning, SC 29102-3149 2017-09-18
1689116006 Healing Hands Surgical Assisting Physician Assistant 456 Bates Crossing Rd, Travelers Rest, SC 29690-9277 2016-11-16
1003207101 Kimberly Anne Caldwell Physician Assistant 306 Roosevelt Ave, Travelers Rest, SC 29690-1750 2015-02-10
1144653742 Carrie Marie Thompson Physician Assistant 96 Jonathan Lucus Street, Csb He320e, Charleston, SC 29425 2013-08-19
1609184316 Kym L Kittle Physician Assistant 161 Ashley Ave, Charleston, SC 29425-8905 2010-09-15
1093960957 Stephen Utenick Physician Assistant 105 Beason Farm Ln, Simpsonville, SC 29681-6509 2008-11-19
1689849457 First Surgical Associates, LLC Physician Assistant 1004 Wells St, Bennettsville, SC 29512-2718 2008-04-23
1922270594 Kati George Carter Physician Assistant 890 W Faris Rd Ste 550, Greenville, SC 29605-4286 2008-03-24
1760584981 Coleman S Fravel Physician Assistant 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203 2006-09-01
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Competitor

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City ANDERSON
Zip Code 29621

Improve Information

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Dataset Information

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.

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