Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS BRADFORD JOHNSON, MD
ActiveNICHOLAS BRADFORD JOHNSON, MD is a Plastic Surgery healthcare provider located in IDAHO FALLS, Idaho. NPI 1578850210 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1578850210
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 1, 2011 (14.97690098323 yrs)
- Last Updated
- Mar 25, 2025
- Licenses
-
83999 (GA)01076429A (IN)M-14721 (ID)M-14721 (ID)
Practice Information
- Address
-
3200 CHANNING WAY STE 206IDAHO FALLS, ID, 834047546Browse ID providers · Browse ZIP 83404
- Phone
- 2085292230
- Fax
- 2084536142
- Primary Specialty
-
Plastic Surgery
208200000X
- Additional Specialty
- Plastic Surgery
- Additional Specialty
- Plastic and Reconstructive Surgery
- Additional Specialty
- Plastic Surgery
Other Plastic Surgery Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM P.D. WILSON III | M.D. | 1447368758 |
| DR. JHADE WOODALL | MD | 1053606236 |
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.