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

Dr. Jeremy David Johnson, MD, MPH

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1407141948

Dr. Jeremy David Johnson, MD, MPH is a Sports Medicine in Seattle, Washington. Graduated from University of Minnesota Medical School in 2011, 15 years ago. Practices with The Polyclinic PLLC, a 366-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington and Wisconsin.

Years since qualifying
15
Trained at
University of Minnesota Medical School
Licensed in
WA, WI
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

904 7th Ave
Seattle, WA 98104-1132
Phone: (206) 860-5584
Fax: (206) 720-7428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence MD60358064 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 62508-20 (WI)

Record details

NPI number1407141948
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MPH
Sole proprietorNo
NPI enumeratedJune 13, 2011
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2011 (15 years in practice)
Group practice The Polyclinic Pllc — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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