DR. BRENT MITCHELL JOHNSON


Address: 2331 Franklin Rd Sw, Roanoke, VA 24014-1111
Phone: 5407251226

DR. BRENT MITCHELL JOHNSON (NPI# 1679550933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679550933
Entity Type Individual
Full Name DR. BRENT MITCHELL JOHNSON
Credential M.D.
Practice Address 2331 Franklin Rd Sw
Roanoke
VA 24014-1111
Practice Telephone 5407251226
Practice Fax Number 5408575306
Mailing Telephone 5407251226
Mailing Fax Number 5408575306
Enumeration Date 2005-12-28
Last Update Date 2016-03-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
0101043592 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA AETNA 1679550933 01
VA ANTHEM 1679550933 01
VA HEALTHKEEPERS PLUS 1679550933 01
VA OPTIMA HEALTH PLAN 1679550933 01
VA HUMANA MEDICARE 1679550933 01
VA UNITED HEALTHCARE 1679550933 01
VA 1679550933 05
VA HEALTHKEEPERS 1679550933 01
VA SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY 1679550933 01
VA GATEWAY 1679550933 01
VA MEDICAID OF NORTH CAROLINA 1679550933 01
VA RAILROAD MEDICARE P00831109 01
VA VIRGINIA HEALTH NETWORK 1679550933 01
VA VA PREMIER 1679550933 01
VA CIGNA 1679550933 01
VA MEDICAID OF WEST VIRGINIA 3810018723 01
VA TRICARE/CHAMPUS 540506332005 01
VA UMWA 1679550933 01
VA INTOTAL 1679550933 01
VA BLACK LUNG 371194700 01

Other Providers BRENT JOHNSON

NPI Name Taxonomy Address Enumeration
1861985574 Brent David Johnson Dentist 70 Westridge Pkwy Ste 200, Mcdonough, GA 30253-3048 2018-06-08
1306233283 Brent Johnson Contractor 404 Cayland Ct, Chesapeake, VA 23322-3624 2015-04-18
1558760835 Brent Johnson Physical Therapist 1260 State Hwy 25, Monticello, MN 55362-8447 2014-08-22
1710021670 Brent Johnson Dentist 6351 Preston Rd, Suite 301, Frisco, TX 75034-5805 2007-02-16
1710031463 Brent Warren Johnson Optometrist 700 Se Chkalov Dr, Suite 5, Vancouver, WA 98683-5202 2007-01-22
1790708857 Brent David Johnson Dentist 3901 Pine Lake Rd Ste 250, Lincoln, NE 68516-5497 2006-07-26
1093715013 Brent M Johnson Physician Assistant 5656 W Us Highway 10, Ludington, MI 49431-2454 2005-08-01
1205309309 Brent H Johnson Registered Nurse 509 Biltmore Ave, Asheville, NC 28801-4601 2019-01-10
1659859270 Brent D Johnson Physical Therapist 103 Whitewater Pl Ste D, Polson, MT 59860-4502 2018-08-06
1982028163 Brent Johnson Social Worker 1918 N Main St, Findlay, OH 45840-3818 2014-02-10

Office Location

Street Address 2331 FRANKLIN RD SW
City ROANOKE
State VA
Zip Code 24014-1111

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134113335 Daniel P Moore Physical Medicine & Rehabilitation 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 2005-09-02
1639717093 Quin Sweeney Nurse Practitioner 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 2019-12-17
1518522952 Kelsey Mcwey Physician Assistant 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 2019-05-01
1275041527 Jennifer Caroline Dudley Physician Assistant 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 2018-01-19
1801304407 Tyler Bryce Kemp Physician Assistant 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 2018-01-17
1508374232 Hope Anna Marie Poetker Physician Assistant 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 2018-01-16
1730695990 Tabitha Saunders Specialist/Technologist 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 2017-12-22
1730692591 Eric Olsen Physician Assistant 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 2017-11-14
1205345097 Kathryn Sandifer Nurse Practitioner 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 2017-09-25
1841718871 Brooke Ellyn Martin Specialist/Technologist 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 2017-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417558602 Irene Pace Seidman Pharmacist 3350 Clearbrook Village Ln, Roanoke, VA 24014 2020-11-04
1720617970 Mounica Reddy Thootkur Student in an Organized Health Care Education/Training Program 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 2020-04-08
1326675422 Bharath Muppala Student in an Organized Health Care Education/Training Program Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 2020-03-26
1235629239 Sanjeeb Sudarshan Bhandari Student in an Organized Health Care Education/Training Program 1906 Bellview Ave Se, Roanoke, VA 24014 2018-05-15
1104325778 Vera J. Short Registered Nurse 3167 Huffman Ln, Roanoke, VA 24014 2018-02-08
1770001380 Michael Alan Phillips I Social Worker 2017 Jefferson Street, Roanoke, VA 24014 2017-09-03
1306362884 Sara Alicia Guasch Student in an Organized Health Care Education/Training Program Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 2017-08-16
1790212256 Pouya Mafi Student in an Organized Health Care Education/Training Program 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 2017-05-16
1790222867 Mara Cate Physician Assistant 523 Arbuttus Ave, Roanoke, VA 24014 2017-01-26
1508314634 Dknl Enterprises, Inc. Non-emergency Medical Transport (VAN) 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 2016-09-19
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952388878 Christopher Kenyon John Orthopaedic Surgery 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 2005-12-30
1972580231 Thomas Kevin Miller Orthopaedic Surgery 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 2005-12-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831751148 Sideline Orthopedics and Sports Medicine, LLC Orthopaedic Surgery 125 Akers Farm Rd Ste C&d, Christiansburg, VA 24073-4866 2019-07-08
1881171718 Franklin Clinic Corp Orthopaedic Surgery 210 Fairview Dr Ste A, Franklin, VA 23851-1216 2018-07-24
1932638921 Sideline Orthopedics and Sports Medicine, LLC Orthopaedic Surgery 1787 W. Lee Hwy, Forest Medical Park, Unit B, Bldg 2, Wytheville, VA 24382-1437 2017-06-05
1477956878 Virginia Commonwealth University Orthopaedic Surgery 821 W Franklin St, Richmond, VA 23284-9012 2014-09-30
1871920132 Mark T Wolfe Orthopaedic Surgery 3906 Breezeport Way, Apt 105, Suffolk, VA 23435-1080 2013-10-02
1750724167 Ryan Austin Harrell Orthopaedic Surgery 5818 Harbour View Blvd Ste 150d, Suffolk, VA 23435-3327 2013-04-16
1306088687 Nathan William Coleman Orthopaedic Surgery 13350 Franklin Farm Rd Ste 220, Herndon, VA 20171-4095 2009-04-01
1497923288 Ryan Glenn Miyamoto Orthopaedic Surgery 3620 Joseph Siewick Dr Ste 201, Fairfax, VA 22033-1758 2008-02-14
1467662791 Stephen F. Brockmeier Orthopaedic Surgery 515 Ray C Hunt Dr Ste 1100, Charlottesville, VA 22903-2981 2007-05-23
1386706620 David R. Diduch Orthopaedic Surgery 515 Ray C. Hunt Dr, Charlottesville, VA 22903-2981 2006-12-14
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Competitor

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City ROANOKE
Zip Code 24014

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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