Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PARKER BRANDT JOHNSON, PA-C
ActiveMR. PARKER BRANDT JOHNSON, PA-C is a Physician Assistant healthcare provider located in BLOOMINGTON, Illinois. NPI 1710578117 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1710578117
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 28, 2021 (5.5818324104862 yrs)
- Last Updated
- Dec 15, 2025
- License
-
085008197 (IL)
Practice Information
- Address
-
1111 TRINITY LN STE 111BLOOMINGTON, IL, 617048112Browse IL providers · Browse ZIP 61704
- Phone
- 3096636461
- Fax
- 3096634529
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| SHERI L NOONAN | P.A.-C | 1902890932 |
| VICTORIA C VOEGEL | PA-C | 1083609986 |
| RENEE ALWAN PERCELL | P.A.-C. | 1588653935 |
| STEFANI J HAGGLUND | PA-C | 1275592578 |
| MRS. JENNY H. STEFFEN | P.A. | 1700998622 |
| JOHN JEFFREY WILLIAMSON | P.A. | 1245338896 |
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.