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

Dr. Bert Emil Johansson, MD/PHD

Individual provider Pediatrics Physician · NPI 1093886400

Dr. Bert Emil Johansson, MD/PHD is a Pediatrics Physician in El Paso, Texas. Practices as a sole proprietor. Licensed in New York and Texas.

Licensed in
NY, TX
In the registry since
2006
Specialties on file
6
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Practice location Address checks out

4800 Alberta Dr Dept Pediatrics; Texas Tech Health Sciences Ctr
El Paso, TX 79905
Phone: (915) 545-6921
Fax: (915) 545-6975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence N4497 (TX)
Pediatrics Physician Taxonomy 208000000X · Licence 211107 (NY)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence 211107 (NY)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence N4497 (TX)
Pediatric Emergency Medicine (Emergency Medicine) Physician Taxonomy 207PP0204X · Licence 211107 (NY)
Pediatric Emergency Medicine (Emergency Medicine) Physician Taxonomy 207PP0204X · Licence N4497 (TX)

Record details

NPI number1093886400
Entity typeIndividual (Type 1)
GenderMale
Credentials MD/PHD
Sole proprietorYes
NPI enumeratedNovember 10, 2006
Last updated in NPPESNovember 16, 2024
Certification dateNovember 16, 2024

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