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

Dr. Brock Johnson, DC

Individual provider Chiropractor · NPI 1992197180

Dr. Brock Johnson, DC is a Chiropractic in Fayetteville, Arkansas. Graduated from Cleveland Chiropractic College - Kansas City in 2014, 12 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
12
Trained at
Cleveland Chiropractic College - Kansas City
Licensed in
AR
In the registry since
2015
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

2630 E Citizens Dr Ste 6
Fayetteville, AR 72703-4797
Phone: (479) 935-3021
Fax: (479) 777-9921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 16072 (AR)

Record details

NPI number1992197180
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedFebruary 24, 2015
Last updated in NPPESNovember 10, 2022
Certification dateNovember 10, 2022
Mailing address1583 Main Dr, Fayetteville, AR 72704-5214

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolCLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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