MEDICARE: DR. ASHLEY BROOKE JOHNSON DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	DR.0061240	CO

General Provider Information

NPI Number	:	1144398454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHLEY BROOKE JOHNSON DO

Provider Business Mailing Address
First Line	:	1840 WOODMOOR DR STE 102
Second Line	:
City	:	MONUMENT
State	:	CO
Zip	:	80132-9083
Country	:	US
Telephone Number	:	719-622-6522
Fax Number	:	719-622-6520

Provider Business Practice Location Address
First Line	:	1840 WOODMOOR DR STE 102
Second Line	:
City	:	MONUMENT
State	:	CO
Zip	:	80132-9083
Country	:	US
Telephone Number	:	719-622-6522
Fax Number	:	719-622-6520

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	06/04/2025

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