NPI age
14 years
Enumerated 2011-07-01
● Active
Type 1 · Individual
Nicholas Bradford Johnson, MD
Johnson is 1 of 6 plastic surgery providers in Idaho Falls and 1 of 24 in Idaho.
Primary specialty
Plastic Surgery
Plus 3 subspecialties
Licensed in
ID, GA, IN
3 states
Status
Active
No deactivations on record
Last NPPES update
2025-03-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 24 active plastic surgery providers in Idaho.
NPI age
14 years
↓ 2 yr below median (16 yr)
State licenses
3 states
Top 87% — 12% of peers are multi-state
Subspecialties
1
In the 37% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-07Enumerated in NPPES
2011
2026
Where they practice
Practice location
3200 Channing Way Ste 206
Idaho Falls, ID 834047546
Mailing address
Po Box 277381
Atlanta, GA 303847381
Additional practice locations
1 secondary location on file with NPPES.
Location 2
3100 Channing Way
Idaho Falls, ID 834047533
Specialties
-
Plastic Surgery PrimaryA plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external...
-
SurgeryA surgeon who specializes in plastic and reconstructive surgery.
Practice context
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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