Provider Demographics
NPI:1245641265
Name:JOHNSON, BRADLEY CURTIS (MD)
Entity type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:CURTIS
Last Name:JOHNSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:39 CONGRESS ST FL 2
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-3024
Mailing Address - Country:US
Mailing Address - Phone:626-795-0282
Mailing Address - Fax:626-795-0583
Practice Address - Street 1:39 CONGRESS ST FL 2
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3024
Practice Address - Country:US
Practice Address - Phone:626-795-0282
Practice Address - Fax:626-795-0583
Is Sole Proprietor?:No
Enumeration Date:2014-05-13
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA131443207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine