BRADLEY L JOHNSON (NPI# 1962463935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962463935 |
| Entity Type | Individual |
| Full Name | BRADLEY L JOHNSON |
| Credential | MD |
| Practice Address |
5875 E Riverside Blvd Rockford IL 61114-4937 |
| Mailing Address |
Box 78534 Milwaukee WI 53278-8534 |
| Practice Telephone | 8153989491 |
| Practice Fax Number | 8153817498 |
| Mailing Telephone | 8153989491 |
| Mailing Fax Number | 8153817498 |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2020-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 036075034 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036075034 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861997975 | Bradley Johnson | Durable Medical Equipment & Medical Supplies | 6489 Endurance Hts, Colorado Springs, CO 80923-5803 | 2018-03-29 |
| 1245641265 | Bradley Curtis Johnson | Orthopaedic Surgery | 39 Congress St Fl 2, Pasadena, CA 91105-3024 | 2014-05-13 |
| 1922443878 | Bradley Scott Johnson | Pharmacist | 2305 Jordan Ln Sw, Huntsville, AL 35805-3322 | 2013-05-06 |
| 1023251642 | Bradley S Johnson | Dentist | 1551 E Morris Blvd, Morristown, TN 37813-5729 | 2009-04-13 |
| 1407023567 | Bradley Duncan Johnson | Psychiatry & Neurology | 617 Hove Ct, Walnut Creek, CA 94598-2325 | 2008-05-08 |
| 1003010596 | Bradley Tyler Johnson | Otolaryngology | 133 Benmore Dr Ste 100, Winter Park, FL 32792-4111 | 2007-06-11 |
| 1568427045 | Bradley P Johnson | Nurse Anesthetist, Certified Registered | 196 North Street, Geneva, NY 14456 | 2006-04-19 |
| 1518931260 | Bradley E Johnson | Dentist | 1016 Nw Newport Ave, Bend, OR 97701-1618 | 2006-02-16 |
| 1710984588 | Bradley Thiren Johnson | Pharmacist | 4010 Aerial Way, Eugene, OR 97402-9757 | 2005-07-07 |
| 1790781516 | Bradley N Johnson | Physical Therapist | 309 S Louisiana St, Plain Dealing, LA 71064-3431 | 2005-06-27 |
| Street Address |
5875 E RIVERSIDE BLVD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61114-4937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126451 | Zeeshan Ahmad | Physical Medicine & Rehabilitation | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2005-07-01 |
| 1609415454 | Nicholas P Mckeown | Physician Assistant | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2019-12-26 |
| 1922646942 | Tori L Homb | Nurse Practitioner | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2019-12-20 |
| 1285296459 | Arron Dennis Buck | Physical Therapist | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2019-07-08 |
| 1740840404 | Midwest Integrated Surgeons, Pllc | Orthopaedic Surgery | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2019-06-15 |
| 1659931319 | Spine Surgeons Integrated Pllc | Orthopaedic Surgery | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2019-06-15 |
| 1255818894 | Rockford Orthopedic Associates, Ltd. Dba Orthoillinois Anesthesia | Anesthesiology | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2018-07-26 |
| 1568908283 | Robert S. Meyers | Physician Assistant | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2017-01-19 |
| 1427591726 | Raquel Ramirez | Registered Nurse | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2016-11-18 |
| 1104374503 | Amanda S. Pumilia | Registered Nurse | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2016-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064560 | Caleb Ifeoluwa Oluwadamisi | Student in an Organized Health Care Education/Training Program | Mercy Health Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-05-11 |
| 1811525959 | Seifeldin Eid | Student in an Organized Health Care Education/Training Program | Mercyhealthjavon Bea Hospital, 8201, East Riversideboulevard, IL 61114 | 2020-04-01 |
| 1073167664 | Swedishamerican Hospital | Internal Medicine | 3505 N Bell School Road, Rockford, IL 61114 | 2019-07-31 |
| 1154980076 | Anurag Gill | Student in an Organized Health Care Education/Training Program | 8201 East Riverside Boulevard, Mercy Health Javon Bea Hospital, Rockford, IL 61114 | 2019-06-13 |
| 1578121943 | Sona Najafi | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 | 2019-05-31 |
| 1760045744 | Julianna Jones | Counselor | 6653 Weaver Rd Ste 115, Rockford, IL 61114 | 2019-04-16 |
| 1952869943 | Angela Marie Hawkins | Nurse Practitioner | 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 | 2019-03-08 |
| 1376029231 | Meghan Beth Teske | Chiropractor | 3779 N. Alpine Rd., Rockfod, IL 61114 | 2018-07-13 |
| 1811401284 | Summit Radiology, LLC | Clinic/Center | 3849 N. Perryville Road, Rockford, IL 61114 | 2017-11-21 |
| 1548704299 | Rockford Orthopedic Associates, Ltd | Durable Medical Equipment & Medical Supplies | 5929 E Riverside Blvd, Rockford, IL 61114 | 2016-12-15 |
| Find all providers in zip 61114 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811085202 | Thomas Joseph Gruber | Anesthesiology | 1603 Arden Ave, Rockford, IL 61107-2027 | 2006-10-11 |
| 1467470989 | Howard W. Weiss | Anesthesiology | 1235 North Mulford Road, Suite 222, Rockford, IL 61107-3879 | 2006-07-17 |
| 1104859107 | William Stephen Minore | Anesthesiology | 1235 N Mulford Rd Ste 222, Rockford, IL 61107-3879 | 2006-07-10 |
| 1760443774 | Frederick J Gahl | Anesthesiology | 2902 Mcfarland Rd Ste 202, Rockford, IL 61107-6801 | 2006-03-29 |
| 1760472898 | Ronald Peter Oberfoell | Anesthesiology | 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 | 2005-10-28 |
| 1255818894 | Rockford Orthopedic Associates, Ltd. Dba Orthoillinois Anesthesia | Anesthesiology | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2018-07-26 |
| 1316391089 | Dale Steven Disalvo | Anesthesiology | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2016-04-19 |
| 1891042552 | Azhar Kothawala | Anesthesiology | 1235 N Mulford Rd Ste 222, Rockford, IL 61107-3879 | 2012-08-12 |
| 1194959627 | Paras Patel | Anesthesiology | 2400 N Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 | 2009-05-12 |
| 1659511202 | Ryan Maxwell | Anesthesiology | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2009-02-23 |
| Find all providers in ROCKFORD | ||||
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| 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.