NPI age
19 years
Enumerated 2006-07-31
● Active
Type 1 · Individual
Bryan Wayne Johnson, PA-C
Johnson is 1 of 96 physician assistant providers in Nampa and 1 of 1263 in Idaho.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-12-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1263 active physician assistant providers in Idaho.
NPI age
19 years
↑ 10 yr above median (9 yr)
State licenses
2 states
Top 81% — 19% of peers are multi-state
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
9850 W St Lukes Dr Ste 260
Nampa, ID 836877912
Mailing address
190 E Bannock St
Boise, ID 837126241
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
697 Louisiana Drive, Dyess Afb
Abilene, TX 796074765
Location 3
1072 N Liberty St Ste 300
Boise, ID 837048708
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in Nampa in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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