IndividualActive
Beverly Johnson, MD
NPI 1336306992 · Rheumatology Physician · Bronx, NY
Provider details
- NPI number
- 1336306992
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 247479 (NY)
Practice location
1400 Pelham Parkway South Jacobi Medical Center
Room 3n-06
Bronx, NY 10461-1197
Phone: (718) 918-3015
Fax: (718) 918-7460
Mailing address
1400 Pelham Pkwy S Rm 3n-21e
Bronx, NY 10461-1119
Registry dates
- Enumerated
- 2008-05-21
- Last updated
- 2023-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.