Individual provider · Type 1 NPI
Bennett M. Johnson, MD
Trauma Surgery Physician · Edmonds, WA
Practice location
21616 76th Ave W Ste 201A
Edmonds, WA 98026-7512
Fax (425) 673-3401
Mailing address
PO Box 25608
Salt Lake City, UT 84125-0608
Other practice locations
- 1321 Colby Ave, Everett, WA 98201-1665 · (425) 261-2000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Trauma Surgery Physician Primary | 2086S0127X | MD60864242 (WA) |
Trauma Surgery Physician: Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification …
6 other providers at this address
- Javier Herrera, MDSurgery Physician Edmonds, WA NPI 1851359467
- Jeffrey Michael Robin, PA-CSurgical Physician Assistant Edmonds, WA NPI 1861422826
- Lauren A. Hunter, PA-CSurgical Physician Assistant Edmonds, WA NPI 1316582695
- Oliver C. Bellevue, MDSurgery Physician Edmonds, WA NPI 1457771636
- Shelby Ann Reiter, MDSurgery Physician Edmonds, WA NPI 1477084770
- Zachary Crofford Weaver, PA-CSurgical Physician Assistant Edmonds, WA NPI 1013482892
About NPI 1629481379
Bennett M. Johnson, MD's National Provider Identifier is 1629481379, issued on Jun 10, 2014. The primary taxonomy on file is Trauma Surgery Physician (2086S0127X), and the practice location is in Edmonds, WA. The record was last updated on Oct 24, 2025.