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

Dr. Vance Bradley Johnson, MD

Individual provider Anesthesiology Physician · NPI 1417369471

Dr. Vance Bradley Johnson, MD is an Anesthesiology in Provo, Utah. Qualified in 2013, 13 years ago. Practices with Mountain West Anesthesia LLC, a 265-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Utah.

Years since qualifying
13
Licensed in
MN, UT
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1034 N 500 W
Provo, UT 84604
Phone: (801) 357-7850
Fax: (770) 701-6675
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 10422353-1205 (UT)
Anesthesiology Physician Taxonomy 207L00000X · Licence 58366 (MN)

Record details

NPI number1417369471
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 27, 2014
Last updated in NPPESApril 27, 2021
Certification dateApril 27, 2021

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Mountain West Anesthesia Llc — 265 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Provo