IndividualActive
Brent Johnson, M.D.
NPI 1679550933 · Sports Medicine (Orthopaedic Surgery) Physician · Roanoke, VA
Provider details
- NPI number
- 1679550933
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 0101043592 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2331 Franklin Rd Sw
Roanoke, VA 24014-1111
Phone: (540) 725-1226
Fax: (540) 857-5306
Approximate (ZIP-level) locationGet directions
Mailing address
2331 Franklin Rd Sw
Roanoke, VA 24014-1111
Registry dates
- Enumerated
- 2005-12-28
- Last updated
- 2016-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.