Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104964188 Individual Practitioner Male Practitioner

Brian R Johnson , SP

Speech-Language Pathologist • Bellevue, WA

Professional Overview & Biography Verified Profile Summary

Brian Johnson, SP is a registered healthcare professional specializing in Speech-Language Pathologist in Bellevue, WA. Practice services are available at 626 120TH AVE NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

626 120th Ave Ne
Suite B201

Bellevue, WA 980053077

Telephone 4255566330
Fax 4255566325
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bellevue, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.4 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
178 Specialists

Practicing in Bellevue, WA (4167 Statewide)

Telehealth Adoption Rate
0.6% 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WA LL00003248

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8410839 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Pamela Ashcom , ST

Speech-Language Pathologist

NPI 1366582173
Vanessa Wilken , MS, CF-SLP

Speech-Language Pathologist

NPI 1497084206

Master of Science, Clinical Fellow in Speech-Language Pathology

Megan Caldwell , MS CCC-SLP

Speech-Language Pathologist

NPI 1750541843

MSCCCSLP

Adam Heiner , ST

Speech-Language Pathologist

NPI 1932240652
Skye Daniels , MS CCC-SLP

Speech-Language Pathologist

NPI 1952540320

MSCCCSLP

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 27, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 27, 2015

Registered at 626 120TH AVE NE, SUITE B201, BELLEVUE, WA 980053077 (Tel: 4255566330)

📍
Updated Business Mailing Address October 27, 2015

Registered at 11511 NE 10TH ST, BELLEVUE MEDICAL CENTER, BELLEVUE, WA 980048578 (Tel: 4255023898)

👤
Provider Name / Credentials Updated October 27, 2015

Recorded as BRIAN JOHNSON, S.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2015

Speech-Language Pathologist (License #LL00003248 in WA)

🟢
Initial NPI Registration & Enumeration February 02, 2007

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: 1104964188
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2007
Last Update: October 27, 2015
Sole Proprietor: No

Mailing Address

11511 Ne 10th St, Bellevue Medical Center

Bellevue, WA 980048578

Phone: 4255023898

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.