DR. BRENT JOHNSON, M.D.

Orthopaedic Surgery - Sports Medicine

Active Individual
NPI: 1003817792

Practice Address

6000 N ALLEN ROAD
Peoria, IL 61614

Phone: (309) 691-1400

Specialties

Specialty Code Primary License
Orthopaedic Surgery 207X00000X No 036108422 (IL)
Orthopaedic Surgery - Sports Medicine 207XX0005X Yes 036108422 (IL)

Frequently Asked Questions

NPI 1003817792 is the National Provider Identifier for DR. BRENT JOHNSON, M.D., a Orthopaedic Surgery - Sports Medicine provider located in Peoria, IL. This NPI was enumerated on August 3, 2005.
DR. BRENT JOHNSON, M.D. practices at 6000 N ALLEN ROAD, Peoria, IL 61614.

Quick Facts

NPI
1003817792
Type
Individual
Enumerated
Aug 3, 2005
Last Updated
Jun 18, 2025

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