IndividualActive
Chad Johnson, DO
NPI 1871881052 · Sports Medicine (Family Medicine) Physician · Twin Falls, ID
Provider details
- NPI number
- 1871881052
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8974078-1204 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
1411 Falls Ave E Ste 1301
Twin Falls, ID 83301-3467
Phone: (208) 735-8585
Fax: (208) 933-2001
Approximate (ZIP-level) locationGet directions
Mailing address
1411 Falls Ave E Ste 1301
Twin Falls, ID 83301-3467
Registry dates
- Enumerated
- 2011-07-21
- Last updated
- 2024-09-23
- Certified
- 2024-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.