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

Bennett M Johnson, MD

Individual provider Trauma Surgery Physician · NPI 1629481379

Bennett M Johnson, MD is a General Surgery in Edmonds, Washington. Qualified in 2014, 12 years ago. Practices with Swedish Health Services, a 1,045-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
12
Licensed in
WA
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

21616 76th Ave W Ste 201A
Edmonds, WA 98026-7512
Phone: (425) 673-3400
Fax: (425) 673-3401
Show map & directions

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

Additional practice locations (1)

  • 1321 Colby Ave, Everett, WA 98201-1665 — (425) 261-2000

Specialties & licences

Trauma Surgery Physician (primary) Taxonomy 2086S0127X · Licence MD60864242 (WA)

Record details

NPI number1629481379
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2014
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025
Mailing addressPo Box 25608, Salt Lake City, UT 84125-0608

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Swedish Health Services — 1045 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount