| Dr Bradford Dixon Johnston, MD | |
|
1615 Delaware St, Longview, WA 98632-2367 | |
| (360) 414-2000 | |
| Not Available |
| Full Name | Dr Bradford Dixon Johnston |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1615 Delaware St, Longview, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487868105 | NPI | - | NPPES |
| 858543040 | Other | OR | OREGON REGENCE BCBS |
| 8501041 | Medicaid | WA | |
| 245799 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD27745 (Oregon) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bradford Dixon Johnston, MD 1625 21st Ave, Longview, WA 98632-3607 Ph: (412) 901-3311 | Dr Bradford Dixon Johnston, MD 1615 Delaware St, Longview, WA 98632-2367 Ph: (360) 414-2000 |
John Y Kim, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-636-4831 | |
Dr. Ryan Michael Caulfield, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-636-4830 | |
Dr. Rusty Wes Gust, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Aftab A Awan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739 | |
Paul A Schneider, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Gary Elliot Penner, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Dr. Joshua Russell, M.D., MSC Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, St Johns Hospital - Peacehealth, Longview, WA 98632 Phone: 360-414-2000 |