DR. MICHAEL BRUCE JOHNSON (NPI# 1134123813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134123813 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL BRUCE JOHNSON |
| Credential | MD |
| Practice Address |
409 N University Ave Little Rock AR 72205-3108 |
| Practice Telephone | 5016646980 |
| Practice Fax Number | 5016644738 |
| Mailing Telephone | 5016646980 |
| Mailing Fax Number | 5016644738 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2016-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | N7853 | AR | Other Service Providers |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
N7853 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 117492001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326655150 | Michael Johnson | Massage Therapist | 4344 Promenade Way Unit 304, Marina Del Rey, CA 90292-6293 | 2020-09-25 |
| 1184236648 | Michael L Johnson | Massage Therapist | 5 Skinner Ct, Tomkins Cove, NY 10986-1105 | 2020-08-17 |
| 1902440266 | Michael Cottrell Johnson | Technician | 3812 W. Mercer Way, Mercer Island, WA 98040 | 2019-10-30 |
| 1235772658 | Michael James Johnson | Driver | 173 S 197th Dr, Buckeye, AZ 85326-3069 | 2019-10-18 |
| 1992287130 | Michael Ray Johnson | Counselor | 900 Nw 31 Ave, Suite #2000, Ft Laud, FL 33311 | 2018-09-04 |
| 1932681715 | Michael Kenneth Johnson | Physician Assistant | 5399 Coachman Rd Apt E, Columbus, OH 43220-6270 | 2018-08-29 |
| 1538648860 | Michael Darnel Johnson Sr. | Counselor | 1705 Kinser Ct, Chesapeake, VA 23324-2332 | 2018-08-08 |
| 1821584988 | Michael Todd Johnson | Registered Nurse | 2137 W 70 S, Hurricane, UT 84737-2791 | 2018-07-02 |
| 1003313727 | Michael Olton Johnson | Physician Assistant | 11513 Merrick Blvd, Jamaica, NY 11434 | 2018-04-09 |
| 1578067336 | Michael Everett Johnson | Student in an Organized Health Care Education/Training Program | 1840 E Woodchase Dr, Baton Rouge, LA 70808-4000 | 2018-03-19 |
| Street Address |
409 N UNIVERSITY AVE |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851395792 | Gastroenterology Associates Pa | Specialist | 409 N University Ave, Little Rock, AR 72205-3108 | 2005-06-09 |
| 1831722271 | Matthew T Taylor | Nurse Practitioner | 409 N University Ave, Little Rock, AR 72205-3108 | 2020-02-13 |
| 1508400425 | Texas Digestive Disease Consultants Pllc | Internal Medicine | 409 N University Ave, Little Rock, AR 72205-3108 | 2019-11-04 |
| 1174962583 | Laboratory Corporation of America | Clinical Medical Laboratory | 409 N University Ave, Little Rock, AR 72205-3108 | 2013-06-19 |
| 1245587203 | David Backstedt | Internal Medicine | 409 N University Ave, Little Rock, AR 72205-3108 | 2012-08-09 |
| 1366709404 | Jeffrey David Robertson | Internal Medicine | 409 N University Ave, Little Rock, AR 72205-3108 | 2012-04-13 |
| 1124252960 | Bobby Rupjyoti Kakati | Internal Medicine | 409 N University Ave, Little Rock, AR 72205-3108 | 2009-05-07 |
| 1780894717 | Jaymie H. Pennington | Internal Medicine | 409 N University Ave, Little Rock, AR 72205-3108 | 2007-05-22 |
| 1760508410 | Arkansas Psychiatry and Behavioral Health | Specialist | 409 N University Ave, Little Rock, AR 72205-3108 | 2007-03-22 |
| 1770566796 | Jeremy C Davis | Internal Medicine | 409 N University Ave, Little Rock, AR 72205-3108 | 2005-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073079596 | Premier Gastroenterology Associates Pllc | Internal Medicine | 10915 Rodney Parham Rd, Suite A, Little Rock, AR 72212-7221 | 2019-02-20 |
| 1508357120 | Stephan Dehmel | Internal Medicine | 4301 W Markham St Ste 567, Little Rock, AR 72205-7101 | 2018-05-21 |
| 1366933855 | Your Bariatric Care Clinic Ea | Internal Medicine | 1 Saint Vincent Cir Ste 320, Little Rock, AR 72205-5408 | 2018-05-21 |
| 1538663729 | Premier Gastroenterology Associates Pllc | Internal Medicine | 10915 N. Rodney Parham, Suite B, Little Rock, AR 72212 | 2018-03-21 |
| 1376987693 | Robert Carlton Power | Internal Medicine | 8 Bella View Drive, Little Rock, AR 72212 | 2013-04-18 |
| 1265675466 | Drs Budhraja, Pa | Internal Medicine | 11321 Interstate 30 Ste 200, Little Rock, AR 72209-7066 | 2009-04-17 |
| 1376706978 | Mary Katherine Rude | Internal Medicine | 4301 West Markham, Mail Slot 567, Shorey Building, Room S8/68, Little Rock, AR 72205 | 2008-07-03 |
| 1730280165 | Daniel Kristan Brown | Internal Medicine | 417 N. University, Little Rock, AR 72205 | 2006-09-26 |
| 1225049059 | William Jack Morton | Internal Medicine | 4300 W 7th St # 111h, Little Rock, AR 72205-5446 | 2006-08-10 |
| 1487682613 | Paul E Williams | Internal Medicine | 9601 Baptist Health Dr Ste 970a, Little Rock, AR 72205-6321 | 2006-06-28 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on DR. MICHAEL BRUCE 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.