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

Dr. Bradley W Johnson, DO

Individual provider Family Medicine Physician · NPI 1134116684

Dr. Bradley W Johnson, DO is a Family Practice in Davenport, Iowa. Qualified in 2004, 22 years ago. Practices with Genesis Health System, a 220-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
22
Licensed in
IA
In the registry since
2005
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

1345 W Central Park Ave
Davenport, IA 52804-1844
Phone: (563) 421-4400
Fax: (563) 421-4449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4136 (IA)

Record details

NPI number1134116684
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 30, 2005
Last updated in NPPESApril 20, 2021
Certification dateApril 20, 2021
Mailing address1345 W Central Park Ave, Davenport, IA 52804-1844

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Genesis Health System — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Davenport