Individual provider · Type 1 NPI
Brent C. Johnson, MD
Sports Medicine (Orthopaedic Surgery) Physician · Peoria, IL
Practice location
6000 N Allen Road
Peoria, IL 61614-3294
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 036108422 (IL) |
| Sports Medicine (Orthopaedic Surgery) Physician Primary | 207XX0005X | 036108422 (IL) |
Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…
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About NPI 1003817792
Brent C. Johnson, MD's National Provider Identifier is 1003817792, issued on Aug 3, 2005. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Peoria, IL. The record was last updated on Jun 18, 2025.