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Deactivated NPI 1013163880 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Thomas Johnson , MD

Emergency Medicine • Palm Bay, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 13, 2008
NPI Deactivation Date July 24, 2017
Total Practice Duration ~9 Years of Practice (2008 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Johnson, MD was a registered Emergency Medicine practicing in Palm Bay, FL. Throughout an active medical career spanning 9 years, Dr. Johnson provided care at the practice location at 621 MORNING COVE CIR SE until profile deactivation on 2017-07-24.

Practice Location & Contact Primary Location

Practice Address

621 Morning Cove Cir Se

Palm Bay, FL 329096809

Telephone 2703157284

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Palm Bay, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
5 Specialists

Practicing in Palm Bay, FL (4182 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License KY 13664

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 24, 2017

Record deactivated on July 24, 2017

NPI Profile Active August 13, 2008

NPI status registered as active in NPPES database

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Updated Practice Location August 13, 2008

Registered at 621 MORNING COVE CIR SE, PALM BAY, FL 329096809 (Tel: 2703157284)

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Updated Business Mailing Address August 13, 2008

Registered at 621 MORNING COVE CIR SE, PALM BAY, FL 329096809 (Tel: 2703157284)

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Provider Name / Credentials Updated August 13, 2008

Recorded as ROBERT JOHNSON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2008

Emergency Medicine (License #13664 in KY)

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Initial NPI Registration & Enumeration August 13, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013163880
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2008
Last Update: August 13, 2008
Deactivation Date: July 24, 2017

Mailing Address

621 Morning Cove Cir Se

Palm Bay, FL 329096809

Phone: 2703157284

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.