Individual provider · Type 1 NPI

Courtney Johnson

Surgical Physician Assistant · Bradenton, FL

NPI number 1164946752 Active

Practice location

8000 Sr 64 E
Bradenton, FL 34212

Call (941) 792-1404 Map

Fax (941) 761-0712

Other practice locations

  • 11531 30th Cv E, Parrish, FL 34219-8982 · (941) 404-6454

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1164946752

Courtney Johnson's National Provider Identifier is 1164946752, issued on Jul 26, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bradenton, FL. The record was last updated on May 27, 2026.