Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENNETT M JOHNSON, MD
ActiveBENNETT M JOHNSON, MD is a Trauma Surgery healthcare provider located in EDMONDS, Washington. NPI 1629481379 is currently active in the NPPES registry. Verify at CMS.
Trauma Surgery · EDMONDS, WA
Registration Details
- NPI Number
- 1629481379
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2014 (11.989716502071 yrs)
- Last Updated
- Oct 24, 2025
- License
-
MD60864242 (WA)
Practice Information
- Address
-
21616 76TH AVE W STE 201AEDMONDS, WA, 980267512Browse WA providers · Browse ZIP 98026
- Phone
- 4256733400
- Fax
- 4256733401
- Primary Specialty
-
Trauma Surgery
2086S0127X
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.