Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony David Johnson

Individual provider Medical Physician Assistant · NPI 1396230116

Anthony David Johnson is a Physician Assistant in Bountiful, Utah. Qualified in 2019, 7 years ago. Practices with Bahr Dermatology PC, a 3-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
7
Licensed in
UT
In the registry since
2018
Specialties on file
2

Practice location Address checks out

460 S 200 W
Bountiful, UT 84010-7126
Phone: (801) 298-1514
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 7283004-1206 (UT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 7283004-1206 (UT)

Record details

NPI number1396230116
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 25, 2018
Last updated in NPPESSeptember 23, 2020
Certification dateSeptember 23, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Bahr Dermatology Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Bountiful