MEDICARE: DR. BRUCE SAMUEL JOHNSTON M.D.

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	207Q00000X	Family Medicine Physician	8390	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	080172913	OTHER	SC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	576000003	OTHER	SC	TAX ID
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164422770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRUCE SAMUEL JOHNSTON M.D.

Provider Business Mailing Address
First Line	:	901 W GREENWOOD ST
Second Line	:	SUITE 9
City	:	ABBEVILLE
State	:	SC
Zip	:	29620-5678
Country	:	US
Telephone Number	:	864-366-9681
Fax Number	:	864-366-5600

Provider Business Practice Location Address
First Line	:	901 W GREENWOOD ST
Second Line	:	SUITE 9
City	:	ABBEVILLE
State	:	SC
Zip	:	29620-5678
Country	:	US
Telephone Number	:	864-366-9681
Fax Number	:	864-366-5600

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

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	03/07/2023

Similar Medicare Providers

1043213622 — MR. CHARLES A. KOLB MD
Practice Location Address:

901 W GREENWOOD ST , SUITE 9
ABBEVILLE, SC
29620-5678

Practice Phone: 864-366-9681
Practice Fax: 864-366-5600

1003800764 — MICHAEL D TURNER M.D.
Practice Location Address:

901 W GREENWOOD ST , SUITE 8-A
ABBEVILLE, SC
29620-5678

Practice Phone: 864-366-6060
Practice Fax: 864-459-5719

1871572107 — MRS. DAWNE FERGUSON HERSHBERGER F.N.P.
Practice Location Address:

901 W GREENWOOD ST , SUITE 9
ABBEVILLE, SC
29620-5678

Practice Phone: 864-366-9681
Practice Fax: 864-366-5600

1740350966 — FAMILY MEDICINE ASSOCIATES OF ABBEVILLE, P.A.
Practice Location Address:

901 W GREENWOOD ST , SUITE 9
ABBEVILLE, SC
29620-5678

Practice Phone: 864-366-9681
Practice Fax: 864-366-5600

1548333768 — PALMETTO RADIOLOGY, PA
Practice Location Address:

901 W GREENWOOD ST
ABBEVILLE, SC
29620-5678

Practice Phone: 803-534-0053
Practice Fax: 803-536-1198

1316072168 — TURNING POINT WOMEN'S CENTER, PA
Practice Location Address:

901 W GREENWOOD ST , SUITE 5
ABBEVILLE, SC
29620-5678

Practice Phone: 864-366-9999
Practice Fax: 864-366-8912

Directions to “ DR. BRUCE SAMUEL JOHNSTON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.