NPI 1659803963 · live from the CMS NPI Registry
Bailey Johnson, M.D.
Orthopaedic Surgery, Sports Medicine in Laramie, WY. National Provider Identifier 1659803963, active.
NPI record
| NPI | 1659803963 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Sports Medicine 207XX0005X |
| Practice location | 3116 Willett Dr, Laramie, WY 82072 |
| Practice phone | 307-755-4540 |
| Enumerated | March 28, 2017 |
| Last updated | October 30, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 125071064 (IL) |
| Orthopaedic Surgery, Sports Medicine primary | 207XX0005X | 16372A (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.