Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mark Everett Bradford Johnson, MD, MBA

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1134188956

Dr. Mark Everett Bradford Johnson, MD, MBA is an Anatomic Pathology & Clinical Pathology Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

16620 N 40th St Ste I-5
Phoenix, AZ 85032-3348
Phone: (602) 482-1300
Fax: (480) 718-7342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 24917 (AZ)

Record details

NPI number1134188956
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MBA
Sole proprietorNo
NPI enumeratedMarch 21, 2006
Last updated in NPPESApril 26, 2011

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