| Bradley Paul Johnson, | |
|
275 10th St Se, Cedar Rapids, IA 52403-2450 | |
| (319) 364-7730 | |
| Not Available |
| Full Name | Bradley Paul Johnson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 275 10th St Se, Cedar Rapids, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710797907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A182703 (Iowa) | Primary |
| Entity Name | Physicians' Clinic Of Iowa, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821075599 PECOS PAC ID: 2163325242 Enrollment ID: O20040128000886 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Paul Johnson, 3313 Loethen Ln, Coralville, IA 52241-2626 Ph: () - | Bradley Paul Johnson, 275 10th St Se, Cedar Rapids, IA 52403-2450 Ph: (319) 364-7730 |
Erin Burns, MSN, ARNP, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 10th St Se, Cedar Rapids, IA 52403 Phone: 319-398-6011 | |
Jerica Samson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1026 A Ave Ne, Cedar Rapids, IA 52402 Phone: 319-369-7211 | |
Jennifer Bradley, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 10th St Se, Cedar Rapids, IA 52403 Phone: 319-369-4777 Fax: 319-369-4694 | |
Brooke Shivers, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 830 1st Ave Ne, Cedar Rapids, IA 52402 Phone: 319-369-8153 | |
Nicole M Pruchno, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 10th St Se, Cedar Rapids, IA 52403 Phone: 319-297-2900 | |
Melinda Sue White, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 411 10th St Se Ste 150, Cedar Rapids, IA 52403 Phone: 800-777-8442 | |
Lindsey Stanley, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 10th St Se, Cedar Rapids, IA 52403 Phone: 319-398-6011 |