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

Bradley Todd Johnson

Individual provider Physician Assistant · NPI 1710167655

Bradley Todd Johnson is a Physician Assistant in Durango, Colorado. Qualified in 1996, 30 years ago. Practices with Edgerton Hospital and Health Services, Inc, a 39-clinician group and accepts Medicare assignment. Licensed in Colorado and Wisconsin.

Years since qualifying
30
Licensed in
CO, WI
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

1010 Three Springs Blvd
Durango, CO 81301-8296
Phone: (303) 306-7783
Fax: (303) 306-7753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3202 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 956 (WI)

Record details

NPI number1710167655
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 8, 2007
Last updated in NPPESNovember 3, 2020
Certification dateNovember 3, 2020
Mailing addressPo Box 17752, Denver, CO 80217-0752

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Edgerton Hospital And Health Services, Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Durango