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

Dr. Bruce W Johnson, MD

Individual provider Family Medicine Physician · NPI 1619954575

Dr. Bruce W Johnson, MD is a Family Medicine Physician in Ooltewah, Tennessee. Licensed in Tennessee. Registered with an NPI since 2005.

Licensed in
TN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6401 Mountain View Rd Ste 109
Ooltewah, TN 37363-6685
Phone: (423) 495-5951
Fax: (423) 495-5999
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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 28377 (TN)

Record details

NPI number1619954575
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 30, 2005
Last updated in NPPESJune 2, 2010
Mailing address6401 Mountain View Road, Suite 109, Ooltewah, TN 37363-6685

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