BARRY D. JOHNSON MD PC NPI 1558572891

NPI Information

NPI: 1558572891
Provider Name: BARRY D. JOHNSON MD PC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1115 S HEMLOCK ST
SUITE 4
IRON MOUNTAIN, MI
ZIP 49801
Phone: (906) 776-1570
Get Directions

BARRY D. JOHNSON MD PC is a neurology psychiatry neurology in Iron Mountain, MI. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. BARRY D. JOHNSON MD PC NPI is 1558572891. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1115 S HEMLOCK ST
SUITE 4
IRON MOUNTAIN, MI
ZIP 49801-800
Phone: (906) 776-1570
Fax: (906) 776-1575

The provider's authorized official is Barry D Johnson .
The authorized official title is Practice Owner and has the following contact phone number (906) 776-1570.

The enumeration date for this NPI number is 5/25/2007 and was last updated on 5/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	4301042058	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3463356 10	MEDICAID	MICHIGAN
2	0M81890	MEDICARE PIN	MICHIGAN
3	A94477	MEDICARE UPIN	MICHIGAN
4	4301042058	OTHER	MICHIGAN	BCBSM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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