Bennett M Johnson, MD
Bennett M Johnson is a Trauma Surgery Physician provider (Surgery) practicing in Edmonds, WA, registered in the NPPES registry with NPI 1629481379 since 2014. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629481379 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Bennett M Johnson |
| Credential | MD |
| Sex | Male |
| Practice address | 21616 76TH AVE W STE 201A, Edmonds, WA, 98026 |
| Phone | 4256733400 |
| Fax | 4256733401 |
| Enumeration date | 2014-06-10 |
| Last updated in NPPES | 2025-10-24 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2086S0127X | Trauma Surgery Physician | Primary | MD60864242 | WA |
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: Bennett Johnson, MD NPI: 1629481379 Taxonomy: 2086S0127X (Trauma Surgery Physician) Address: 21616 76TH AVE W STE 201A, Edmonds, WA, 98026
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1851359467 | Javier Herrera | Individual | Surgery Physician | Edmonds, WA |
| 1861422826 | Jeffrey Robin | Individual | Surgical Physician Assistant | Edmonds, WA |
| 1457771636 | Oliver Bellevue | Individual | Surgery Physician | Edmonds, WA |
| 1477084770 | Shelby Reiter | Individual | Surgery Physician | Edmonds, WA |
| 1013482892 | Zachary Weaver | Individual | Surgical Physician Assistant | Edmonds, WA |
| 1316582695 | Lauren Hunter | Individual | Surgical Physician Assistant | Edmonds, WA |
Verify this record
Cross-check NPI 1629481379 against the authoritative CMS record: view Bennett M 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.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-10-24.