NPI Code Detail JSON Logo

1801985056 NPI number — GREGORY JOHNSON MD

NPI Number: 1801985056
Health Care Provider/Practitioner: GREGORY JOHNSON MD

Information about “1801985056” NPI (GREGORY JOHNSON MD) exists in 1801985056 in HTML format HTML  |  1801985056 in plain Text format TXT  |  1801985056 in PDF (Portable Document Format) PDF  |  1801985056 in an XML format XML  formats.

NPI Number : 1801985056 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801985056",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JOHNSON",
    "FirstName": "GREGORY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "215 WINGED FOOT DR.",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HIDEAWAY",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75771-5056",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "903-882-7890",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3302 BOCA CHICA BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BROWNSVILLE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78521-5193",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "956-982-1001",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/12/2006",
    "LastUpdateDate": "11/05/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207P00000X",
        "TaxonomyName": "Emergency Medicine Physician",
        "LicenseNumber": "F9625",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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