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

Mr. Jason Bradley Johnson, NP-C

Individual provider Family Nurse Practitioner · NPI 1467752915

Mr. Jason Bradley Johnson, NP-C is a Nurse Practitioner in Tyler, Texas. Qualified in 2010, 16 years ago. Practices with Etmc Physician Group, Inc, a 376-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
16
Licensed in
TX
In the registry since
2010
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

8101 S Broadway Ave
Tyler, TX 75703-5469
Phone: (903) 939-7500
Fax: (903) 939-7728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 1123 S Palestine St Ste 300, Athens, TX 75751-3645 — (903) 937-7500
  • 925 W Loop 281, Longview, TX 75604-2918 — (903) 939-7728
  • 305 W 20th St, Mt Pleasant, TX 75455-2327 — (903) 937-7500
  • 3816 N University Dr, Nacogdoches, TX 75965-2011 — (903) 939-7500
  • 2211 S Loop 256, Palestine, TX 75801-4701 — (903) 939-7500

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 714451 (TX)
Registered Nurse First Assistant Taxonomy 163WR0006X · Licence AP119683 (TX)

Record details

NPI number1467752915
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedNovember 1, 2010
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Etmc Physician Group, Inc. — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Tyler