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

Brolin Johnson, PA

Individual provider Medical Physician Assistant · NPI 1265999338

Brolin Johnson, PA is a Physician Assistant in Salem, Oregon. Qualified in 2019, 7 years ago. Practices with Silver Falls Dermatology LLC, a 98-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2019
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

1793 13th St SE
Salem, OR 97302-2541
Phone: (503) 362-8385
Fax: (503) 362-8435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA192760 (OR)

Record details

NPI number1265999338
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 26, 2019
Last updated in NPPESJune 28, 2019
Mailing address1793 13th St Se, Salem, OR 97302-2541

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 Silver Falls Dermatology Llc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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