MEDICARE: DR. BRADLEY D 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	174400000X	Specialist	45555	MN
2	207YX0905X	Otolaryngology/Facial Plastic Surgery Physician	45555	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538130844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRADLEY D JOHNSON DO

Provider Business Mailing Address
First Line	:	8301 GOLDEN VALLEY RD
Second Line	:	STE 200
City	:	GOLDEN VALLEY
State	:	MN
Zip	:	55427
Country	:	US
Telephone Number	:	763-233-5755
Fax Number	:	763-233-5782

Provider Business Practice Location Address
First Line	:	9825 HOSPITAL DR STE 203
Second Line	:
City	:	MAPLE GROVE
State	:	MN
Zip	:	55369-4772
Country	:	US
Telephone Number	:	763-233-5755
Fax Number	:

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

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	08/15/2025

Similar Medicare Providers

1316133044 — NORTH MEMORIAL AMBULATORY SURGERY CENTER AT MAPLE GROVE, LLC
Practice Location Address:

9855 HOSPITAL DR , STE 175
MAPLE GROVE, MN
55369-4772

Practice Phone: 763-981-3200
Practice Fax: 763-981-3201

1194989020 — MOLLANA CARSON PURDY AUD
Practice Location Address:

9825 HOSPITAL DR STE 203
MAPLE GROVE, MN
55369-4772

Practice Phone: 763-233-5755
Practice Fax:

1831406040 — DR. TROY SOMMERS HEMME DO
Practice Location Address:

9825 HOSPITAL DR STE 203
MAPLE GROVE, MN
55369-4772

Practice Phone: 763-233-5755
Practice Fax: 763-233-5782

1295752939 — EMMERLING CHIROPRACTIC P.C.
Practice Location Address:

5202 WASHINGTON ST , SUITE 1
DOWNERS GROVE, IL
60515-4772

Practice Phone: 630-968-0555
Practice Fax:

1316047202 — MODEL HOME HEALTH CARE, INC.
Practice Location Address:

5202 WASHINGTON ST , SUITE #8
DOWNERS GROVE, IL
60515-4772

Practice Phone: 630-322-8122
Practice Fax: 630-322-8126

1659433480 — DR. SCOTT S EMMERLING D.C.
Practice Location Address:

5202 WASHINGTON ST , SUITE 1
DOWNERS GROVE, IL
60515-4772

Practice Phone: 630-968-0555
Practice Fax:

Directions to “ DR. BRADLEY D JOHNSON DO” 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.