Bradford V Johnson (NPI# 1992907364, PAC ID# 8123110426) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1992907364 |
| PAC ID by PECOS | 8123110426 |
| Professional Enrollment ID | I20070816000242 |
| Full Name | Bradford V Johnson |
| Organization Legal Name | FAIRVIEW HEALTH SERVICES |
| Address |
13819 Hanson Blvd Nw Andover MN 55304-7608 |
| Phone Number | 7635725700 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2004 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1951213057 |
| Number of Group Practice Members | 1400 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241346 | MAYO CLINIC HEALTH SYSTEM - CANNON FALLS |
| 241338 | MAYO CLINIC HEALTH SYSTEM - LAKE CITY |
| 240080 | UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW |
| 521318 | LADD MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 7635725700 | FAIRVIEW HEALTH SERVICES |
| 600 W 98th St, Bloomington, MN 55420-4773 | 9528856150 | FAIRVIEW CLINICS |
| 1440 Duckwood Dr, Eagan, MN 55122-1451 | 6514068860 | FAIRVIEW CLINICS |
| 6545 France Ave S, Suite 150, Edina, MN 55435-2180 | 9528485600 | FAIRVIEW CLINICS |
| 18580 Joplin Ave, Lakeville, MN 55044-4218 | FAIRVIEW CLINICS |
| Organization Legal Name | FAIRVIEW HEALTH SERVICES |
| Physicians | 1502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly L Nguyen | Nurse Practitioner | Fairview Health Services | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 |
| Nicholas Lee Rudolph | Physical Therapy | Fairview Health Services | 14712 Victor Hugo Blvd N, Hugo, MN 55038-6419 |
| Andrew Caraganis | Pulmonary Disease | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Molly Levy | Nurse Practitioner | Fairview Health Services | 911 Northland Dr, Princeton, MN 55371-2172 |
| Justin C Boeke | Obstetrics/gynecology | Fairview Health Services | 25945 Gateway Dr, Zimmerman, MN 55398-5300 |
| Steven Alex Rizzi | Optometry | Fairview Health Services | 6341 University Ave Ne, Fridley, MN 55432-4946 |
| David Allen Supik | Family Medicine | Fairview Health Services | 14500 N 99th Ave, 1a038, Maple Grove, MN 55369-4730 |
| Hilary Wilde | Registered Dietitian Or Nutrition Professional | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Nhat Anh Ngo | General Surgery | Fairview Health Services | 919 Northland Dr, Princeton, MN 55371-2172 |
| Sarah Nicole Olson Venning | Clinical Social Worker | Fairview Health Services | 14500 99th Ave N, Suite 210, Maple Grove, MN 55369-4739 |
| Street Address |
13819 HANSON BLVD NW |
| City | ANDOVER |
| State | MN |
| Zip | 55304-7608 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly L Nguyen | Nurse Practitioner | Fairview Health Services | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 |
| Maureen Stormont Cannon | Qualified Audiologist | Fairview Health Services | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David A Henning | Chiropractic | 1573 154th Ave Nw, Suite 102, Andover, MN 55304-2696 | |
| Divina F. Bikeri | Nurse Practitioner | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Andrea D Bergstrom | Nurse Practitioner | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Jessica L Kenser | Nurse Practitioner | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| David L Wineinger | Pediatric Medicine | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Kamrie A Parrott | Nurse Practitioner | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Susan L Demorlis | Registered Dietitian Or Nutrition Professional | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Patricia A Herbert | Family Medicine | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Sherry M Marinello | Physician Assistant | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Celerina Gonzalez | Family Medicine | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Find all physicians in zip 55304 | |||
| City | ANDOVER |
| Zip Code | 55304 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ANDOVER + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Bradford V Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.