NPI 1700240256 · live from the CMS NPI Registry
Brian Leif Johnson, M.D.
Psychiatry & Neurology, Neurology in Salt Lake City, UT. National Provider Identifier 1700240256, active.
NPI record
| NPI | 1700240256 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 30 N 1900 E, Room 4c116, Salt Lake City, UT 84132 |
| Practice phone | 801-585-5559 |
| Enumerated | April 11, 2016 |
| Last updated | October 21, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 10534819-1205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.