Individual provider · Type 1 NPI

Bradley Johnson, PA-C

Physician Assistant · Albuquerque, NM

NPI number 1760072847 Active

Practice location

8300 Constitution Ave NE
Albuquerque, NM 87110-7624

Mailing address

PO Box 26666, Provider Enrollment
Albuquerque, NM 87125-6666

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000XPA2022-0038 (NM)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1760072847

Bradley Johnson, PA-C's National Provider Identifier is 1760072847, issued on Jan 22, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Albuquerque, NM. The record was last updated on Jun 13, 2022.