Individual provider · Type 1 NPI

Brent A. Johnson, D.P.M.

Foot & Ankle Surgery Podiatrist · Jbsa Lackland, TX

NPI number 1568458461 Active

Practice location

1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X5901001757 (MI)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1568458461

Brent A. Johnson, D.P.M.'s National Provider Identifier is 1568458461, issued on Sep 26, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Jbsa Lackland, TX. The record was last updated on Mar 5, 2026.