Whalio Doctors

NPI 1003173436

Brandon Teron Johnson, MD

Practitioner Otolaryngology Physician Lees Summit, MO

Practice location

Address
4880 NE Goodview Cir, Lees Summit, MO 64064-1996
Phone
(816) 478-4200
Fax
(816) 875-2598
Mailing address
5101 College Blvd, Leawood, KS 66211-1614

Registered specialties (3)

Otolaryngology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 2017043658 (MO)
Specialist
Other Service Providers Taxonomy 174400000X
Otolaryngology Physician
Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 04-40523 (KS)

Registry record

NPI
1003173436
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Apr 2012
Record last updated
8 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.