Dr Brian L Johnson, MD | |
1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | |
(573) 635-5264 | |
(573) 761-4351 |
Full Name | Dr Brian L Johnson |
---|---|
Gender | Male |
Speciality | Internal Medicine - Infectious Disease |
Location | 1241 W Stadium Blvd, Jefferson City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790781896 | NPI | - | NPPES |
434227 | Other | MO | HEALTHLINK IND |
7034216 | Other | MO | AETNA |
127908 | Other | MO | GROUP HEALTH PLAN |
204961809 | Medicaid | MO | |
128687 | Other | MO | ANTHEM BLUE CROSS BLUE SH |
204961809 | Other | MO | MO CARE IND |
9201146 | Other | MO | UNITED HEALTHCARE |
1816637 | Other | MO | FIRST HEALTH |
20433 | Other | MO | HEALTHCARE USA IND |
A002 | Other | MO | TRICARE IND |
H12503 | Other | MO | MERCY |
P00119749 | Other | MO | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 108712 (Missouri) | Primary |
Entity Name | Bothwell Regional Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235102690 PECOS PAC ID: 6103714126 Enrollment ID: O20040310000246 |
Entity Name | Ssm Regional Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649217837 PECOS PAC ID: 8921917352 Enrollment ID: O20070213000635 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian L Johnson, MD Po Box 104240, Jefferson City, MO 65110-4240 Ph: (573) 635-5264 | Dr Brian L Johnson, MD 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 Ph: (573) 635-5264 |
Vineela Kasireddy, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1432 Southwest Blvd, Jefferson City, MO 65109 Phone: 573-632-4800 | |
Mr. Ghulam Ghous, M.D Infectious Disease Medicare: Medicare Enrolled Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5000 Fax: 573-634-2033 | |
Dr. Thomas W. Schneider, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-761-4351 | |
Dr. Conrad S. Balcer, D.O. Infectious Disease Medicare: Medicare Enrolled Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-761-4611 | |
Rolando Daniel Breier, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-893-6404 Fax: 573-893-6505 | |
Chad Zeglis, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2505 Mission Dr, Jefferson City, MO 65109 Phone: 573-681-3396 Fax: 573-681-3617 | |
Dr. Rodd L Hillard, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2707 W Edgewood Dr, Jefferson City, MO 65109 Phone: 573-635-0233 Fax: 573-635-7436 |