| Bradley Mcneil Johnson, | |
|
342 Fairview St, Silverton, OR 97381-1917 | |
| (503) 873-1500 | |
| Not Available |
| Full Name | Bradley Mcneil Johnson |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 342 Fairview St, Silverton, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548531973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP60436137 (Washington) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 202009567CRNA-PP (Oregon) | Primary |
| Entity Name | Mid-valley Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20031111000297 |
| Entity Name | Samaritan North Lincoln Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306897491 PECOS PAC ID: 7911816301 Enrollment ID: O20040120000329 |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952482275 PECOS PAC ID: 3072415652 Enrollment ID: O20040123000519 |
| Entity Name | Willamette Valley Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790740520 PECOS PAC ID: 6103729314 Enrollment ID: O20040127000785 |
| Entity Name | Silverton Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669424354 PECOS PAC ID: 8921901877 Enrollment ID: O20040129000172 |
| Entity Name | Samaritan Pacific Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174888010 PECOS PAC ID: 2466353529 Enrollment ID: O20040204000304 |
| Entity Name | Albany General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154372340 PECOS PAC ID: 9931097987 Enrollment ID: O20040310000310 |
| Entity Name | Columbia Anesthesia Group P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861448235 PECOS PAC ID: 8426954322 Enrollment ID: O20040316000861 |
| Entity Name | Anesthesia Associates Northwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20050822001459 |
| Entity Name | Samaritan North Lincoln Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1306897491 PECOS PAC ID: 7911816301 Enrollment ID: O20061104000117 |
| Entity Name | Mid-valley Healthcare Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20061104000140 |
| Entity Name | Samaritan Pacific Health Services Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1801847066 PECOS PAC ID: 2466353529 Enrollment ID: O20061104000163 |
| Entity Name | Premier Anesthesia Of Oregon Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154010429 PECOS PAC ID: 2961857123 Enrollment ID: O20231009002794 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Mcneil Johnson, Po Box 94645, Seattle, WA 98124-6945 Ph: (509) 474-6841 | Bradley Mcneil Johnson, 342 Fairview St, Silverton, OR 97381-1917 Ph: (503) 873-1500 |
Mr. Charles G Lobdell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 342 Fairview St, Silverton, OR 97381 Phone: 503-873-1500 | |
Mr. Todd Meyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 342 Fairview St, Silverton, OR 97381 Phone: 503-873-1500 | |
Lam Truong, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 342 Fairview St, Silverton, OR 97381 Phone: 503-873-1500 | |
Mr. Robert Shaun Revels, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 342 Fairview St, Silverton, OR 97381 Phone: 503-873-1500 | |
Alex Carl Bahrke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 342 Fairview St, Silverton, OR 97381 Phone: 503-873-1500 | |
Mr. Rodger A Johnson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 342 Fairview St, Silverton, OR 97381 Phone: 503-873-1500 |