Bruce Michael Johnson, MD - Surgery in Pueblo, CO

Bruce Michael Johnson, MD is a Surgery physician based in Pueblo, Colorado. Bruce Michael Johnson is licensed to practice in Colorado (license number 20619) and his current practice location is 1600 N Grand Ave, Ste 510, Pueblo, Colorado. He can be reached at his office (for appointments etc.) via phone at (719) 566-3535.

NPI number for Bruce Michael Johnson is 1538183793 and his current mailing address is 1600 N Grand Ave, Ste 510, Pueblo, Colorado. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538183793.

Contact Information

Bruce Michael Johnson, MD
1600 N Grand Ave, Ste 510,
Pueblo, CO 81003-2700
(719) 566-3535
(719) 566-3565



Physician's Profile

Full NameBruce Michael Johnson
GenderMale
SpecialitySurgery
Location1600 N Grand Ave, Pueblo, Colorado
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1538183793
  • Provider Enumeration Date: 07/27/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Bruce Michael Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538183793NPI-NPPES
01260199MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 20619 (Colorado)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bruce Michael Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bruce Michael Johnson, MD
1600 N Grand Ave, Ste 510,
Pueblo, CO 81003-2700

Ph: (719) 566-3535
Bruce Michael Johnson, MD
1600 N Grand Ave, Ste 510,
Pueblo, CO 81003-2700

Ph: (719) 566-3535

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› Verified 5 days ago


Surgery Doctors in Pueblo, CO

Dr. Paul Raymond Radway, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 3506 San Jose Ct, Pueblo, CO 81005
Phone: 719-252-6467    
Michael Lee King, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1600 N Grand Ave, Ste 510, Pueblo, CO 81003
Phone: 719-566-3535    Fax: 719-566-3565
Dr. Rina K. Shinn, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1600 W 24th St, Pueblo, CO 81003
Phone: 719-546-4947    
Dr. Lonnie L Imlay, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1925 E. Orman Ave., Suite A109, Pueblo, CO 81004
Phone: 719-564-0210    Fax: 719-564-9483
Priscilla Nobecourt,
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1600 N Grand Ave Ste 430, Pueblo, CO 81003
Phone: 719-545-8240    
Philip Charles Marin, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1304 N Grand Ave, Pueblo, CO 81003
Phone: 719-669-8487    Fax: 719-669-8488
Neil A Banga, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1600 N Grand Ave, Suite 430, Pueblo, CO 81003
Phone: 719-545-8240    

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