Corey B Johnson MD PC
Corey B Johnson MD PC is a healthcare organization registered as Family Medicine Physician in Logan, UT, holding Type 2 (organization) NPI 1114115763 since 2007. The authorized official on file is Corey Johnson, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114115763 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Corey B Johnson MD PC |
| Other name | <Unavail> |
| Practice address | 1219 N 400 E, Logan, UT, 84341 |
| Phone | 4357532842 |
| Enumeration date | 2007-10-09 |
| Last updated in NPPES | 2007-10-09 |
Authorized official
| Name | Corey Johnson |
|---|---|
| Title | President |
| Phone | 4357532842 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | 1848241205 | UT |
Copy-ready billing details
Provider: Corey B Johnson MD PC NPI: 1114115763 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 1219 N 400 E, Logan, UT, 84341
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1255328969 | Gordon Wood | Individual | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | Logan, UT |
| 1891771465 | David Bell | Individual | Podiatrist | Logan, UT |
| 1164486064 | Matthew Welter | Individual | Family Medicine Physician | Logan, UT |
| 1639180698 | Corey Johnson | Individual | Family Medicine Physician | Logan, UT |
| 1578894937 | David D Bell | Organization | Foot & Ankle Surgery Podiatrist | Logan, UT |
| 1992097612 | John Malouf | Individual | Family Medicine Physician | Logan, UT |
| 1962801407 | Dana Chiropractic | Organization | Clinic/Center | Logan, UT |
| 1063805299 | Krystal Cox | Individual | Marriage & Family Therapist | Logan, UT |
Verify this record
Cross-check NPI 1114115763 against the authoritative CMS record: view Corey B Johnson MD PC 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
What type of organization is Corey B Johnson MD PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-10-09.