IndividualActive
Brett Johnson, PA-C
NPI 1003344789 · Physician Assistant · Deadwood, SD
Provider details
- NPI number
- 1003344789
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 1081 (SD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
61 Charles St
Deadwood, SD 57732-1303
Phone: (605) 717-6000
Approximate (ZIP-level) locationGet directions
Mailing address
61 Charles St
Deadwood, SD 57732-1303
Registry dates
- Enumerated
- 2017-05-25
- Last updated
- 2017-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.