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

Benjamin Keith Johnson, MD

Individual provider Internal Medicine Physician · NPI 1255627790

Benjamin Keith Johnson, MD is a Cardiovascular Disease (Cardiology) in St Cloud, Minnesota. Graduated from University of Minnesota Medical School in 2011, 15 years ago. Practices with Centracare Clinic, a 782-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
15
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1200 6th Avenue North Centracare Clinic River Campus
St Cloud, MN 56303-2735
Phone: (320) 656-7020
Fax: (320) 255-5943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 55329 (MN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 55329 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255627790
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2011
Last updated in NPPESJuly 21, 2022
Mailing address1200 6th Avenue North, Centracare Clinic River Campus, St Cloud, MN 56303-2735

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2011 (15 years in practice)
Group practice Centracare Clinic — 782 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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