Individual provider · Type 1 NPI

Nicholas Bradford Johnson, MD

Plastic Surgery Physician · Idaho Falls, ID

NPI number 1578850210 Active

Practice location

3200 Channing Way Ste 206
Idaho Falls, ID 83404-7546

Call (208) 529-2230 Map

Fax (208) 453-6142

Mailing address

3200 Channing Way Ste A206
Idaho Falls, ID 83404-7586

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician 2086S0122XM-14721 (ID)
Plastic Surgery Physician Primary 208200000XM-14721 (ID)

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

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About NPI 1578850210

Nicholas Bradford Johnson, MD's National Provider Identifier is 1578850210, issued on Jul 1, 2011. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jun 9, 2026.