J. David Johnson,MD,PA
J. David Johnson,MD,PA is a healthcare organization registered as Specialist in Tyler, TX, holding Type 2 (organization) NPI 1376747196 since 2007. The authorized official on file is James Gordon, Ofc Mgr.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1376747196 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | J. David Johnson,MD,PA |
| Practice address | 618 S BROADWAY AVE, Tyler, TX, 75701 |
| Phone | 9035969900 |
| Fax | 9035960242 |
| Enumeration date | 2007-06-14 |
| Last updated in NPPES | 2008-01-28 |
Authorized official
| Name | James Gordon |
|---|---|
| Title | Ofc Mgr |
| Phone | 9035969900 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Secondary | K4497 | TX |
| 174400000X | Specialist | Primary | G7829 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128264203 | Medicaid | TX | — |
Copy-ready billing details
Provider: J. David Johnson,MD,PA NPI: 1376747196 Taxonomy: 174400000X (Specialist) Address: 618 S BROADWAY AVE, Tyler, TX, 75701
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1386636017 | Jonathan Markowitz | Individual | Critical Care Medicine (Internal Medicine) Physician | Tyler, TX |
| 1922090497 | Joel Johnson | Individual | Critical Care Medicine (Internal Medicine) Physician | Tyler, TX |
| 1912931213 | Tara Taylor | Individual | Critical Care Medicine (Internal Medicine) Physician | Tyler, TX |
Verify this record
Cross-check NPI 1376747196 against the authoritative CMS record: view J. David Johnson,MD,PA 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 is a Type 2 NPI?
What type of organization is J. David Johnson,MD,PA?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-01-28.