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

Bevan Ellis Johnson, MD, MBA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639798580

Bevan Ellis Johnson, MD, MBA practises Emergency Medicine in Indianapolis, Indiana. Graduated from Texas a & M University System, Hsc, College of Medicine in 2020, 6 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Trained at
Texas a & M University System, Hsc, College of Medicine
Licensed in
IN
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MBA — Master of Business Administration
A graduate business degree.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Indianapolis, IN

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 1701 N Senate Blvd # Ag012, Indianapolis, IN 46202-1239 — (317) 962-5975

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 01086630A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (IN)

Record details

NPI number1639798580
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MBA
Sole proprietorNo
NPI enumeratedApril 10, 2020
Last updated in NPPESJuly 6, 2022
Certification dateJuly 6, 2022

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolTEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients46
Services billed 50 a service is one billed item, such as a visit, a test or a procedure
Average patient age61

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Permanente Medical Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 10941 clinicians in the practice; 12 are shown here.

Other providers in Indianapolis