National Provider Identifier
Bradley P Johnson, CRNA
Bradley P Johnson, CRNA is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist in Geneva, NY and a listed phone number of (315) 787-4533.
Profile Overview
- NPI
- 1568427045
- Provider Type
- Individual
- Primary Specialty
- Certified Registered Nurse Anesthetist
- Enumeration Date
- April 19, 2006
- Last Updated
- January 11, 2010
Practice Location
- 196 North Street
- Geneva, NY 14456
Phone: (315) 787-4533
Mailing Address
- 202 Taughannock Blvd.
- PO Box 366
- Ithaca, NY 14851
Specialties
- Certified Registered Nurse Anesthetist (367500000X)
Full Record
- NPI
- 1568427045
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Bradley
- Middle Name
- P
- Name Prefix
- Mr.
- Credential
- CRNA
- Mailing Street Address
- 202 Taughannock Blvd.
- Mailing Address Line 2
- PO Box 366
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14851
- Mailing Country
- US
- Mailing Phone
- (607) 277-3257
- Mailing Fax
- (607) 277-4056
- Practice Street Address
- 196 North Street
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456
- Practice Country
- US
- Practice Phone
- (315) 787-4533
- Enumeration Date
- April 19, 2006
- Last Updated
- January 11, 2010
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Certified Registered Nurse Anesthetist (367500000X)