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

Matthew Michael Johnson, DO

Individual provider Psychiatry Physician · NPI 1396173746

Matthew Michael Johnson, DO is a Psychiatry in Fridley, Minnesota. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2021, 5 years ago. Practices with Broadlawns Medical Center, a 306-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Iowa and Minnesota.

Years since qualifying
5
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
IA, MN
In the registry since
2013
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

520 Osborne Rd NE Ste 210
Fridley, MN 55432-2718
Phone: (763) 236-3800
Fax: (763) 236-3821
Show map & directions

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

Additional practice locations (2)

  • 1111 6th Ave, Des Moines, IA 50314-2613 — (515) 643-8350
  • 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 — (651) 241-9700

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 78037 (MN)
Psychiatry Physician Taxonomy 2084P0800X · Licence DO-06400 (IA)
Physician Assistant Taxonomy 363A00000X · Licence 11487 (MN)

Record details

NPI number1396173746
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 23, 2013
Last updated in NPPESNovember 23, 2025
Certification dateNovember 23, 2025
Mailing address2925 Chicago Ave, Minneapolis, MN 55407-1321

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2021 (5 years in practice)
Group practice Broadlawns Medical Center — 306 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

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