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BRUCE G. JOHNSON DOPC NPI 1841337508


NPI Information

NPI: 1841337508
Provider Name: BRUCE G. JOHNSON, DOPC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
30550 UTICA RD
ROSEVILLE, MI
ZIP 48066
Phone: (586) 771-0290
Get Directions

BRUCE G. JOHNSON, DOPC is a geriatric medicine internal medicine in Roseville, MI. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. BRUCE G. JOHNSON, DOPC NPI is 1841337508. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

30550 UTICA RD
ROSEVILLE, MI
ZIP 48066-528
Phone: (586) 771-0290
Fax: (586) 771-5450

The provider's authorized official is Bruce Gilber Johnson .
The authorized official title is President and has the following contact phone number (586) 771-0290.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 4/16/2008.


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
1207RG0300XInternal MedicineGeriatric MedicineYes

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
10E06249MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
2E25559MEDICARE UPINMICHIGAN

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

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