Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRYAN MIKAEL JOHNSON, PA-C
ActiveBRYAN MIKAEL JOHNSON, PA-C is a Physician Assistant healthcare provider located in FOSSTON, Minnesota. NPI 1477106714 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FOSSTON, MN
Registration Details
- NPI Number
- 1477106714
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 16, 2019 (7.0499248481664 yrs)
- Last Updated
- Oct 20, 2025
- License
-
13648 (MN)
Practice Information
- Address
-
111 2ND ST NEFOSSTON, MN, 565421301Browse MN providers · Browse ZIP 56542
- Phone
- 2184351111
- Fax
- 2184351112
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in FOSSTON, MN
| Name | Credential | NPI |
|---|---|---|
| CORINNE A DARGUS | PAC | 1174559611 |
| MRS. NICOLE MARIE KIESOW | PA-C | 1356502769 |
| MRS. DANIELE R KROUSE | PA-C, LAT, ATC | 1720474471 |
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.