NPI 1578850210

Nicholas Bradford Johnson, MD

Practitioner Plastic Surgery Physician Idaho Falls, ID

Practice location

Address: 3200 Channing Way STE 206, Idaho Falls, ID 83404-7546
Phone: (208) 529-2230
Fax: (208) 453-6142
Mailing address: 3200 Channing Way STE A206, Idaho Falls, ID 83404-7586

Registered specialties (2)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence M-14721 (ID)

Other Plastic Surgery providers in Idaho →

Plastic and Reconstructive Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence M-14721 (ID)

Other Surgery providers in Idaho →

Registry record

NPI: 1578850210
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2011
Record last updated: 9 Jun 2026

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.