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

Matthew Wallace Johnson, DO

Individual provider Emergency Medicine Physician · NPI 1225539182

Matthew Wallace Johnson, DO is an Emergency Medicine in Bonners Ferry, Idaho. Qualified in 2020, 6 years ago. Practices with Boundary Community Hospital, a 30-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho and Louisiana.

Years since qualifying
6
Licensed in
ID, LA
In the registry since
2018
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

6640 Kaniksu St
Bonners Ferry, ID 83805-7532
Phone: (208) 267-3141
Show map & directions

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

Additional practice locations (2)

  • 25 Jacobs Gulch Rd, Kellogg, ID 83837-2023 — (208) 784-1221
  • 52579 Us-51, Independence, LA 70443 — (985) 878-9421

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 9171859 (ID)
Internal Medicine Physician Taxonomy 207R00000X · Licence 9171859 (ID)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 335074 (LA)

Record details

NPI number1225539182
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 26, 2018
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026
Mailing address6640 Kaniksu St, Bonners Ferry, ID 83805-7532

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Boundary Community Hospital — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bonners Ferry