Individual provider · Type 1 NPI

Blake Elliot Johnson, MD, M.SC.

Urology Physician · Charlotte, NC

NPI number 1497389142 Active

Practice location

15830 Ballantyne Medical Pl Ste 175
Charlotte, NC 28277-0763

Fax (704) 337-8387

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X2024-02754 (NC)
Urology Physician 208800000X97637 (SC)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

3 other providers at this address

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About NPI 1497389142

Blake Elliot Johnson, MD, M.SC.'s National Provider Identifier is 1497389142, issued on Mar 2, 2020. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Charlotte, NC. The record was last updated on Aug 26, 2026.