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

Dr. Bradley Scott Johnson, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417528357

Dr. Bradley Scott Johnson, DO is a Student in an Organized Health Care Education/Training Program in Lansing, Michigan. Licensed in Michigan and Oklahoma. Registered with an NPI since 2021.

Licensed in
MI, OK
In the registry since
2021
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

1140 E Michigan Ave
Lansing, MI 48912-1805
Phone: (517) 364-5655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 1417528357 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence M083810221 (OK)

Record details

NPI number1417528357
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 1, 2021
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026
Mailing address1140 E Michigan Ave, Lansing, MI 48912-1805

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