Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GERALD BRUCE JOHNSON
Active Sole ProprietorMR. GERALD BRUCE JOHNSON is a Emotionally Disturbed Children Residential Treatment healthcare provider located in WASILLA, Alaska. NPI 1609443217 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · WASILLA, AK
Registration Details
- NPI Number
- 1609443217
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2021 (5.1854892215466 yrs)
- Last Updated
- Oct 15, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
4092 W MARBLE WAYWASILLA, AK, 996548752Browse AK providers · Browse ZIP 99654
- Phone
- 9072273524
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Other Emotionally Disturbed Children Residential Treatment Providers in WASILLA, AK
| Name | Credential | NPI |
|---|---|---|
| MARSHA SOMMERVILLE | — | 1932629508 |
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.