Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony David Johnson

Individual provider Medical Physician Assistant · NPI 1396230116

Anthony David Johnson is a Physician Assistant in Bountiful, Utah. Qualified in 2019, 7 years ago. Practices with Bahr Dermatology PC, a 3-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
7
Licensed in
UT
In the registry since
2018
Specialties on file
2

Practice location Address checks out

460 S 200 W
Bountiful, UT 84010-7126
Phone: (801) 298-1514
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 7283004-1206 (UT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 7283004-1206 (UT)

Record details

NPI number1396230116
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 25, 2018
Last updated in NPPESSeptember 23, 2020
Certification dateSeptember 23, 2020
Mailing address460 S 200 W, Bountiful, UT 84010-7126

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Bahr Dermatology Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Bountiful