National Provider Identifier
Braden Johnson
Braden Johnson is listed in the NPPES registry with a primary specialty of Peer Specialist in Rochester, NY and a listed phone number of (585) 328-0740.
Profile Overview
- NPI
- 1609408707
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- February 06, 2020
- Last Updated
- February 06, 2020
Practice Location
- 1099 Jay St
- Rochester, NY 14611-1153
Phone: (585) 328-0740
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1609408707
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Braden
- Mailing Street Address
- 1099 Jay St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14611-1153
- Mailing Country
- US
- Practice Street Address
- 1099 Jay St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-1153
- Practice Country
- US
- Practice Phone
- (585) 328-0740
- Enumeration Date
- February 06, 2020
- Last Updated
- February 06, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 06, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)