Bennett Johnson, MD
Bennett Johnson, MD is a Trauma Surgery Physician in Edmonds, WA, registered under NPI 1629481379.
Getting there
The practice address on file is 21616 76TH AVE W STE 201A, Edmonds, WA 98026. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| MD60864242 | WA | Trauma Surgery Physician primary |
This provider holds licence MD60864242 issued in WA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - General Surgery
- PAC ID
- 5890015689
Medicare enrolment is recorded as approved under the provider type Practitioner - General Surgery. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Trauma Surgery covers
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. NUCC Health Care Provider Taxonomy, code 2086S0127X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1629481379 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 10, 2014 |
| Last updated | Oct 24, 2025 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
21616 76TH AVE W STE 201A Edmonds, WA 98026 (425) 673-3400 Fax (425) 673-3401 |
| Mailing address |
PO BOX 25608 Salt Lake City, UT 84125 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 2 | 9 | 4 | 8 | 1 | 3 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 4 | 9 | 8 | 8 | 2 | 3 | 5 |
Sum = 71 · next multiple of 10 = 80 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.