36123 SCHOOLCRAFT RD
LIVONIA, MI 48150 US PECOS Enrolled
Bruce G Johnson
Internal Medicine Physician
- LIVONIA, MI
- Phone: (734)-464-0887
- Last Updated 8/28/2018
Overview
Bruce G Johnson is a Internal Medicine Physician in the LIVONIA area and has over 46 years of experience. Bruce G Johnson primary office location is at 36123 SCHOOLCRAFT RD and new patients are welcome to contact this healthcare provider for an appointment. He attended Philadelphia College Of Osteopathic Medicine and graduated 1978
Bruce G Johnson is affiliated with two hospitals in the LIVONIA area, including . The NPI number is 1245236215 and the information was updated approximately 6 years ago.
Bruce G Johnson is affiliated with one medical group in the LIVONIA area, GERIATRIC ASSOCIATES OF MICHIGAN, PLLC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 007447 | MI |
| Board Certifications |
|---|
| Osteopathic Geriatric Medicine |
| Osteopathic Internal Medicine |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 2643592 | MI |
| MEDICAID | 2608252 | MI |
| MEDICAID | 2832400 | MI |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | MI | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20040109001031 |
| PECOS Individual PAC ID: | 1052211703 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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