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

Individual provider Physician Assistant · NPI 1093715013

Brent M Johnson, PA is a Physician Assistant in Ludington, Michigan. Qualified in 1998, 28 years ago. Practices with Mercy Health Partners, a 66-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
28
Licensed in
MI
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5656 W US Highway 10
Ludington, MI 49431-2454
Phone: (231) 843-2543
Fax: (231) 843-2547
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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 5601003020 (MI)

Record details

NPI number1093715013
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 1, 2005
Last updated in NPPESAugust 8, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Mercy Health Partners — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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