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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRENT C JOHNSON, M.D.

Active

DR. BRENT C JOHNSON, M.D. is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in PEORIA, Illinois. NPI 1003817792 is currently active in the NPPES registry. Verify at CMS.

Adult Reconstructive Orthopaedic Surgery · PEORIA, IL

Registration Details

NPI Number
1003817792
Provider Type
Individual
Gender
Male
NPI Issued
Aug 3, 2005 (20.986262493695 yrs)
Last Updated
Jun 18, 2025
Licenses
036108422 (IL)
036108422 (IL)

Practice Information

Address
6000 N ALLEN ROAD
PEORIA, IL, 616143294
Browse IL providers · Browse ZIP 61614
Phone
3096911400
Primary Specialty
Adult Reconstructive Orthopaedic Surgery
207XX0005X

Other Adult Reconstructive Orthopaedic Surgery Providers in PEORIA, IL

Name Credential NPI
DR. MARK R PHILLIPS MD 1366441644
DR. STEPHEN R ORLEVITCH M.D. 1841290913
DR. STEVEN K BELOW M.D. 1649270711
DR. MICHAEL J GIBBONS M.D. 1407857311
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.