IndividualActive
Brian Johnson, M.D.
NPI 1790781896 · Infectious Disease Physician · Jefferson City, MO
Provider details
- NPI number
- 1790781896
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 108712 (MO)
Practice location
1241 W Stadium Blvd
Jefferson City, MO 65109-6023
Phone: (573) 635-5264
Fax: (573) 761-4351
Mailing address
Po Box 104240
Jefferson City, MO 65110-4240
Registry dates
- Enumerated
- 2005-06-23
- Last updated
- 2014-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.