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

Gary Blake Johnson, MD

Individual provider Specialist · NPI 1144223827

Gary Blake Johnson, MD is an Urology in Salt Lake City, Utah. Graduated from New York Medical College in 1999, 27 years ago. Practices with North Lincoln County Hospital District, a 67-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
27
Trained at
New York Medical College
Licensed in
UT
In the registry since
2005
Specialties on file
2
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

24 S 1100 E Ste 105
Salt Lake City, UT 84102-1593
Phone: (801) 965-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 5860718-1205 (UT)
Specialist Taxonomy 174400000X · Licence 5860718-1205 (UT)

Record details

NPI number1144223827
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2005
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 1999 (27 years in practice)
Group practice North Lincoln County Hospital District — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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