IndividualActive
Bradley Johnson, DO
NPI 1417528357 · Urology Physician · Lansing, MI
Provider details
- NPI number
- 1417528357
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- M083810221 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
1140 E Michigan Ave
Lansing, MI 48912-1805
Phone: (517) 364-5655
Approximate (ZIP-level) locationGet directions
Mailing address
1140 E Michigan Ave
Lansing, MI 48912-1805
Registry dates
- Enumerated
- 2021-07-01
- Last updated
- 2026-04-22
- Certified
- 2026-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.