Brad Russell Johnson (NPI# 1538165295, PAC ID# 9830175595) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1538165295 |
| PAC ID by PECOS | 9830175595 |
| Professional Enrollment ID | I20060908000083 |
| Full Name | Brad Russell Johnson |
| Organization Legal Name | JOHNSON DERMATOLOGY CLINIC PLLC |
| Address |
5921 Riley Park Dr Fort Smith AR 72916-6103 |
| Phone Number | 4796493376 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 4789688615 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5921 Riley Park Dr, Fort Smith, AR 72916-6103 | 4796493376 | JOHNSON DERMATOLOGY CLINIC PLLC |
| Organization Legal Name | JOHNSON DERMATOLOGY CLINIC PLLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nina M Copeland | Nurse Practitioner | Johnson Dermatology Clinic Pllc | 5921 Riley Park Dr, Fort Smith, AR 72916-6103 |
| Garrett J Nelson | Dermatology | Johnson Dermatology Clinic Pllc | 5921 Riley Park Dr, Fort Smith, AR 72916-6103 |
| Sandra Marchese Johnson | Dermatology | Johnson Dermatology Clinic Pllc | 5921 Riley Park Dr, Fort Smith, AR 72916-6103 |
| Honey R Schaumburg | Physician Assistant | Johnson Dermatology Clinic Pllc | 5921 Riley Park Dr, Fort Smith, AR 72916-6103 |
| Amy R Hudson | Pathology | Johnson Dermatology Clinic Pllc | 5921 Riley Park Dr, Fort Smith, AR 72916-6103 |
| Street Address |
5921 RILEY PARK DR |
| City | FORT SMITH |
| State | AR |
| Zip | 72916-6103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nina M Copeland | Nurse Practitioner | Johnson Dermatology Clinic Pllc | 5921 Riley Park Dr, Fort Smith, AR 72916-6103 |
| Garrett J Nelson | Dermatology | Johnson Dermatology Clinic Pllc | 5921 Riley Park Dr, Fort Smith, AR 72916-6103 |
| Sandra Marchese Johnson | Dermatology | Johnson Dermatology Clinic Pllc | 5921 Riley Park Dr, Fort Smith, AR 72916-6103 |
| Honey R Schaumburg | Physician Assistant | Johnson Dermatology Clinic Pllc | 5921 Riley Park Dr, Fort Smith, AR 72916-6103 |
| Amy R Hudson | Pathology | Johnson Dermatology Clinic Pllc | 5921 Riley Park Dr, Fort Smith, AR 72916-6103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Marie Rowland | Nurse Practitioner | 920s Hwy 45, Bonanza, AR 72916-3420 | |
| Thomas C Bonin | Family Practice | William Justin Hayes Md Pa | 920s Hwy 45, Bonanza, AR 72916-3420 |
| Thomas R Wood | Obstetrics/gynecology | Women's Center for Health and Wellness Pllc | 8101 Mcclure Dr, Suite 100, Fort Smith, AR 72916-6044 |
| Amanda L Spahn | Physician Assistant | Women's Center for Health and Wellness Pllc | 8101 Mcclure Dr, Suite 100, Fort Smith, AR 72916-6044 |
| Sharon Miesner | Occupational Therapy | Western Arkansas Plastic and Reconstructive Surgery Center | 8101 Mcclure Dr, Suite 301, Fort Smith, AR 72916-6056 |
| Cecil Chris Honaker | Occupational Therapy | 6301 Hwy 45, Suite G, Fort Smith, AR 72916-8851 | |
| Nata T Matthews | Nurse Practitioner | Baptist Health Services | 6100 Massard Rd, Fort Smith, AR 72916-8886 |
| Justin D Voris | Family Medicine | Baptist Health Services | 6100 Massard Rd, Fort Smith, AR 72916-8886 |
| Michael Steven Cole | Family Medicine | Baptist Health Services | 6100 Massard Rd, Fort Smith, AR 72916-8886 |
| Joshua A Clark | Family Medicine | 9207 Hwy 71 S, Suite 9, Fort Smith, AR 72916-9117 | |
| Find all physicians in zip 72916 | |||
| City | FORT SMITH |
| Zip Code | 72916 |
| Specialty | DERMATOLOGY |
| City + Specialty | FORT SMITH + DERMATOLOGY |
Please comment or provide details below to improve the information on Brad Russell Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.