Dr Bradley Zenor Johnson, DPT is a
Physical Therapist physician based in West Bend, Wisconsin. Dr Bradley Zenor Johnson is licensed to practice in Wisconsin (license number 14156) and his current practice location is 1190 E Paradise Dr, West Bend, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(262) 306-6319.
NPI number for Dr Bradley Zenor Johnson is 1487145579 and his current mailing address is 306 Bluffview Ct, Portage, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487145579.
Physician's Profile
| Full Name | Dr Bradley Zenor Johnson |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
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| Location | 1190 E Paradise Dr, West Bend, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487145579
- Provider Enumeration Date: 05/23/2018
- Last Update Date: 06/20/2018
Medical Identifiers
Medical identifiers for Dr Bradley Zenor Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487145579 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 1415624 (Wisconsin) | Secondary |
| 225100000X | Physical Therapist | 14156 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bradley Zenor Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Bradley Zenor Johnson, DPT
306 Bluffview Ct,
Portage, WI 53901-1512
Ph: (608) 617-9424 | Dr Bradley Zenor Johnson, DPT
1190 E Paradise Dr,
West Bend, WI 53095
Ph: (262) 306-6319 |
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