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

BRYAN WAYNE JOHNSON, PA-C

Active

BRYAN WAYNE JOHNSON, PA-C is a Physician Assistant healthcare provider located in NAMPA, Idaho. NPI 1508872763 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · NAMPA, ID

Registration Details

NPI Number
1508872763
Provider Type
Individual
Gender
Male
NPI Issued
Jul 31, 2006 (20.02802950284 yrs)
Last Updated
Dec 3, 2024
Licenses
PA-2055 (ID)
1071708 (GA)

Practice Information

Address
9850 W ST LUKES DR STE 260
NAMPA, ID, 836877912
Browse ID providers · Browse ZIP 83687
Phone
2083816930
Fax
2083816931
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in NAMPA, ID

Name Credential NPI
THEA HEATON PA-C 1811998628
STACY I SUMMA PA C 1295722478
MR. SETH ALAN PERMANN PA-C 1508855974
MICHAEL D WHITE PA-C 1780673707
WILLIAM HATCH PA 1609865633
TERRI C JONES PA 1336138361
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.