DR. BRIAN ALAN JOHNSON (NPI# 1023012754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023012754 |
| Entity Type | Individual |
| Full Name | DR. BRIAN ALAN JOHNSON |
| Credential | MD |
| Practice Address |
613 Terrace Dr Winamac IN 46996-1111 |
| Practice Telephone | 5749466644 |
| Practice Fax Number | 5749467801 |
| Mailing Telephone | 5749466644 |
| Mailing Fax Number | 5749467801 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01037880 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100210710A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871617 | Brian Anders Johnson | Student in an Organized Health Care Education/Training Program | 720 S River Rd Ste B105, St George, UT 84790-5704 | 2020-11-05 |
| 1669002630 | Brian A Johnson | Counselor | 16978 W Santiago Cir, Hauser, ID 83854-8153 | 2020-01-18 |
| 1770063687 | Brian Johnson | Optometrist | 1200 W Godfrey Avenue, Philadelphia, PA 19141-3323 | 2018-08-20 |
| 1467979013 | Brian R Johnson Jr. | Massage Therapist | 275 Sw 160th St Ste 201, Burien, WA 98166-3003 | 2017-08-24 |
| 1851817316 | Brian Johnson | Driver | 2919 Providence Creek Rd, North Chesterfield, VA 23236-5267 | 2017-08-16 |
| 1033630330 | Brian Bradley Johnson | Pediatrics | Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2017-06-28 |
| 1356870158 | Brian Johnson | Private Vehicle | 52 Saint Pauls Rd, Warsaw, VA 22572-4436 | 2017-06-06 |
| 1538601554 | Brian David Johnson | Occupational Therapist | 7370 Cabot Ct Ste 101, Melbourne, FL 32940-8263 | 2016-11-08 |
| 1548630122 | Brian Johnson | Technician, Cardiology | 1163 Bridge Mill Ave, Canton, GA 30114-7713 | 2015-09-25 |
| 1093111817 | Brian Johnson | Home Health | 9446 Crockett Pass, Hamilton, OH 45011-9054 | 2014-11-05 |
| Street Address |
613 TERRACE DR |
| City | WINAMAC |
| State | IN |
| Zip Code | 46996-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972030062 | Lafayette Pain Care PC | Durable Medical Equipment & Medical Supplies | 613 Terrace Dr, Winamac, IN 46996-1111 | 2017-05-19 |
| 1235357476 | Allman Family Practice,p.c. | Family Medicine | 613 Terrace Dr, Winamac, IN 46996-1111 | 2007-04-23 |
| 1043356439 | Brian A Johnson Md PC | Family Medicine | 613 Terrace Dr, Winamac, IN 46996-1111 | 2007-01-30 |
| 1467535799 | Brian A Johnson Md PC | Non-Pharmacy Dispensing Site | 613 Terrace Dr, Winamac, IN 46996-1111 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568003523 | Stephanie Michelle Parish | Technician | 8111 W 400 S, Winamac, IN 46996 | 2019-10-01 |
| 1376976571 | Ourhealth Physician Group, LLC | Clinic/Center | 144 S. County Road 100 W, Winamac, IN 46996 | 2013-08-12 |
| 1316078520 | Eastern Pulaski Community School Corporation | Local Education Agency (LEA) | 711 School Drive, Winamac, IN 46996 | 2007-03-08 |
| 1649288689 | Goble Heal Chiropractic PC | Chiropractor | 116 E Pearl Street, Winamac, IN 46996 | 2006-08-04 |
| 1841832888 | Safeguard Joy LLC | In Home Supportive Care | 8111 W 400 S, Winamac, IN 46996 | 2019-10-10 |
| 1568958239 | John Paul Wunderlich | Counselor | 118 N Sally Dr, Winamac, IN 46996 | 2018-07-06 |
| 1770839797 | Catherine Dywan | Social Worker | 540 Hospital Dr, Winamac, IN 46996 | 2012-07-27 |
| 1316129695 | Husam Baki | Internal Medicine | 616 E 13th St, Winamac, IN 46996 | 2007-11-29 |
| 1013062686 | Clinton L. Kauffman | Family Medicine | 540 Hospital Dr, Winamac, IN 46996 | 2007-01-24 |
| 1750451811 | Frank A Utes | Family Medicine | 525 E Thirteenth St, Winamac, IN 46996-0186 | 2006-11-08 |
| Find all providers in zip 46996 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710292289 | Utes Family Practice, Inc. | Family Medicine | 525 E 13th St, Winamac, IN 46996-1144 | 2010-08-09 |
| 1316011976 | Curtis Family Practice Inc | Family Medicine | 2418 N. Curtis Drive, Suite B, Winamac, IN 46996-8818 | 2006-11-17 |
| 1750451811 | Frank A Utes | Family Medicine | 525 E Thirteenth St, Winamac, IN 46996-0186 | 2006-11-08 |
| 1487668554 | Paul John Russo | Family Medicine | 222 S Monticello St, Winamac, IN 46996-1543 | 2006-07-27 |
| 1528000395 | Knox-winamac Community Health Centers, Inc. | Family Medicine | 121 E Pearl St, Winamac, IN 46996-1310 | 2006-06-13 |
| 1699773994 | Rex Allen Allman | Family Medicine | 540 Hospital Dr, Winamac, IN 46996-1173 | 2005-07-11 |
| 1669475893 | Elizabeth Ann Curtis | Family Medicine | 2418 Curtis Dr, Ste B, Winamac, IN 46996-8818 | 2005-05-23 |
| 1386178861 | Timothy Day | Family Medicine | 540 Hospital Dr, Winamac, IN 46996-1173 | 2017-04-12 |
| 1750738258 | Brogan Edward Bahler | Family Medicine | 540 Hospital Dr, Winamac, IN 46996-1173 | 2016-05-16 |
| 1447546031 | Melissa D Zahrt | Family Medicine | 616 E 13th St, Winamac, IN 46996-1117 | 2011-06-22 |
| Find all providers in WINAMAC | ||||
Please comment or provide details below to improve the information on DR. BRIAN ALAN JOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.