BRUCE DEWAYNE JOHNSON (NPI# 1982650289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982650289 |
| Entity Type | Individual |
| Full Name | BRUCE DEWAYNE JOHNSON |
| Credential | MD |
| Practice Address |
142 W 5th St Cookeville TN 38501-1760 |
| Mailing Address |
1092 Sugarhill Pl Cookeville TN 38501-4538 |
| Practice Telephone | 9315282541 |
| Practice Fax Number | 5302430445 |
| Mailing Telephone | 9312617399 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2015-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD0000040859 | TN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3338289 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902452329 | Bruce Johnson | Technician | 1720 R St Se, Washington, DC 20020-4763 | 2019-08-12 |
| 1215304738 | Bruce A. Johnson | Marriage & Family Therapist | 425 Coon Rapids Blvd., Coon Rapids, MN 55433 | 2015-09-01 |
| 1932398393 | Bruce David Johnson | Social Worker | 230 East Marydale, Suite 2, Soldotna, AK 99669-7648 | 2007-10-22 |
| 1447453097 | Bruce G Johnson | Anesthesiology | 800 E Cheves St Ste 480b, Florence, SC 29506-2650 | 2007-06-08 |
| 1366654899 | Bruce Gordon Johnson | Optometrist | 2610 South Douglas Highway, Suite 190, Gillette, WY 82718 | 2007-05-04 |
| 1104041813 | Bruce C. Johnson | Psychiatry & Neurology | 748 Se Fairwinds Loop, Vancouver, WA 98661-8087 | 2007-04-16 |
| 1114040011 | Bruce Hinton Johnson | Dentist | 7641 Shaffer Pkwy, Littleton, CO 80127-3013 | 2007-04-08 |
| 1013034933 | Bruce Lyman Johnson | Dentist | 716 Castle Heights Ct, Lebanon, TN 37087-2670 | 2007-03-24 |
| 1912043621 | Bruce Johnson | Internal Medicine | 800 W Biesterfield Road, Suite 4003, Elk Grove Village, IL 60007 | 2007-01-29 |
| 1366591687 | Bruce A Johnson | Dentist | 8 W Dry Creek Circle, Ste 200, Littleton, CO 80120 | 2007-01-09 |
| Street Address |
142 W 5TH ST |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-1760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093719452 | Melissa Geist | Nurse Practitioner | 142 W 5th St, Cookeville, TN 38501-1760 | 2005-06-13 |
| 1447402276 | Michael Stringer | Radiology Practitioner Assistant | 142 W 5th St, Cookeville, TN 38501-1760 | 2008-10-10 |
| 1407044514 | Amber Beth Hoffert | Physician Assistant | 142 W 5th St, Cookeville, TN 38501-1760 | 2007-10-15 |
| 1922299395 | Jeri Lynn Baker | Nurse Practitioner | 142 W 5th St, Cookeville, TN 38501-1760 | 2007-08-09 |
| 1437279262 | Cumberland Imaging Associates, PC | Specialist | 142 W 5th St, Cookeville, TN 38501-1760 | 2007-03-29 |
| 1013066810 | Donald Wayne Huff | Radiology | 142 W 5th St, Cookeville, TN 38501-1760 | 2007-01-09 |
| 1881618056 | Nancy Terry Richardson | Nurse Practitioner | 142 W 5th St, Cookeville, TN 38501-1760 | 2006-07-27 |
| 1942241294 | Natasha D Meadows | Internal Medicine | 142 W 5th St, Cookeville, TN 38501-1760 | 2006-06-09 |
| 1922053750 | Tennessee Inpatient Medicine Associates, Pllc | Internal Medicine | 142 W 5th St, Cookeville, TN 38501-1760 | 2006-05-23 |
| 1508831082 | Ginny C Charnock | Radiology | 142 W 5th St, Cookeville, TN 38501-1760 | 2006-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| 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 |
|---|---|---|---|---|
| 1992007348 | La Management Company | Specialist | 1125 Deer Creek Dr, Cookeville, TN 38501-6680 | 2010-11-17 |
| 1184892317 | Jenny Lynn Hall | Specialist | 2541 Nova Cir, Cookeville, TN 38501-5626 | 2008-02-11 |
| 1770702334 | Putnam Radiology, PC | Specialist | 315 N Washington Ave Ste 209, Cookeville, TN 38501-2660 | 2007-04-24 |
| 1568501716 | Charles R Norman | Specialist | 125 S Jefferson Ave, Cookeville, TN 38501-3424 | 2007-02-05 |
| 1124111661 | Scott A Copeland | Specialist | 203 N. Cedar Avenue, Suite A, Cookeville, TN 38501 | 2006-10-02 |
| 1982719092 | Satya Narayan Chakrabarty | Specialist | 435 N Cedar Ave, Cookeville, TN 38501-2422 | 2006-08-20 |
| 1124052972 | Steven L Clemons | Specialist | 682 Canter Ln, Cookeville, TN 38501-4523 | 2006-07-10 |
| 1265465041 | Cumberland Back Pain Clinic PC | Specialist | 480 Neal St Ste 101, Cookeville, TN 38501-4073 | 2006-07-07 |
| 1891731055 | Phillip H Lucas | Specialist | 136 East Spring Street, Cookeville, TN 38501-3208 | 2006-06-22 |
| 1508815648 | Therapy Solutions, PC | Specialist | 1683 S Jefferson Ave, Cookeville, TN 38506-2517 | 2006-05-08 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on BRUCE DEWAYNE 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.