Ian James Johnson, M.D.
Ian James Johnson is a Pediatric Adolescent Medicine Physician provider (Pediatrics) practicing in Patrick Afb, FL, registered in the NPPES registry with NPI 1265404990 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1265404990 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Ian James Johnson |
| Credential | M.D. |
| Sex | Male |
| Practice address | 1381 SOUTH PATRICK DR, PATRICK AFB, 45 MEDICAL GROUP, Patrick Afb, FL, 32925 |
| Phone | 3214948152 |
| Fax | 3214948533 |
| Enumeration date | 2006-02-06 |
| Last updated in NPPES | 2009-06-25 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2080A0000X | Pediatric Adolescent Medicine Physician | Primary | G0440 | TX |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Ian Johnson, M.D. NPI: 1265404990 Taxonomy: 2080A0000X (Pediatric Adolescent Medicine Physician) Address: 1381 SOUTH PATRICK DR, PATRICK AFB, 45 MEDICAL GROUP, Patrick Afb, FL, 32925
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Cross-check NPI 1265404990 against the authoritative CMS record: view Ian James Johnson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-06-25.