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

Derek Brent Johnson, DO

Individual provider Anesthesiology Physician · NPI 1962605857

Derek Brent Johnson, DO is an Anesthesiology in Murray, Utah. Qualified in 2006, 20 years ago. Practices with Kauai Medical Clinic, a 150-clinician group and accepts Medicare assignment. Licensed in Missouri and Utah.

Years since qualifying
20
Licensed in
MO, UT
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5121 S Cottonwood Street Intermountain Medical Ctr
Murray, UT 84157-2520
Phone: (801) 507-5248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 359058-1204 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 2006018684 (MO)

Record details

NPI number1962605857
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 7, 2007
Last updated in NPPESJanuary 9, 2012
Mailing address3136 Lower Saddleback Rd, Park City, UT 84098-4829

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Kauai Medical Clinic — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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