Brian L Johnson (NPI# 1790781896, PAC ID# 1153317722) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1790781896 |
| PAC ID by PECOS | 1153317722 |
| Professional Enrollment ID | I20090210000157 |
| Full Name | Brian L Johnson |
| Organization Legal Name | AUDRAIN PHYSICIAN SERVICES LLC |
| Address |
620 E Monroe St Mexico MO 65265-2919 |
| Phone Number | 5735825000 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | INFECTIOUS DISEASE |
| Group Practice PAC ID | 9537471719 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260064 | SSM HEALTH ST. MARY'S HOSPITAL-AUDRAIN |
| 260068 | BOONE HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 620 E Monroe St, Mexico, MO 65265-2919 | 5735825000 | AUDRAIN PHYSICIAN SERVICES LLC |
| Organization Legal Name | AUDRAIN PHYSICIAN SERVICES LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Conrad S Balcer | Cardiovascular Disease (cardiology) | Audrain Physician Services LLC | 620 E Monroe St, Mexico, MO 65265-2919 |
| Mohammad Zubair Malik | Internal Medicine | Audrain Physician Services LLC | 620 E Monroe St, Mexico, MO 65265-2919 |
| Street Address |
620 E MONROE ST |
| City | MEXICO |
| State | MO |
| Zip | 65265-2919 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Conrad S Balcer | Cardiovascular Disease (cardiology) | Audrain Physician Services LLC | 620 E Monroe St, Mexico, MO 65265-2919 |
| Michael G Beat | Radiation Oncology | Ssm Audrain Health Care Inc | 620 E Monroe St, Audrain Medical Center, Mexico, MO 65265-2919 |
| George K Cyriac | Diagnostic Radiology | Columbia Radiology, Ltd | 620 E Monroe St, Mexico, MO 65265-2919 |
| Blake W Anderson | Family Medicine | Audrain Emergency Group LLC | 620 E Monroe St, Mexico, MO 65265-2919 |
| Shahid Waheed | Hematology/oncology | Ssm Audrain Health Care Inc | 620 E Monroe St, Audrain Medical Center, Mexico, MO 65265-2919 |
| James P Brillhart | Emergency Medicine | Audrain Emergency Group LLC | 620 E Monroe St, Mexico, MO 65265-2919 |
| Vincent N Nwankwo | Psychiatry | Ssm Audrain Health Care Inc | 620 E Monroe St, Mexico, MO 65265-2919 |
| John Koonce | Urology | Ssm Audrain Health Care Inc | 620 E Monroe St, Audrain Medical Center, Mexico, MO 65265-2919 |
| Rameshlal M Rawlani | Psychiatry | Ssm Audrain Health Care Inc | 620 E Monroe St, Mexico, MO 65265-2919 |
| Cheryl G Lummis | Certified Clinical Nurse Specialist (cns) | Ssm Audrain Health Care Inc | 620 E Monroe St, Audrain Medical Center, Mexico, MO 65265-2919 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Dragoo Jr. | Podiatry | 2 Park Cir, Mexico, MO 65265-2331 | |
| Stephen J Smith | Clinical Social Worker | 212 W Jackson St, Stephen J Smith Lcsw, Mexico, MO 65265-2712 | |
| Kristi R Kessler Williams | Optometry | 321 W Promenade St, Mexico, MO 65265-2719 | |
| Stever J Taylor | Family Medicine | 321 N Washington St, Mexico, MO 65265-2755 | |
| James A Scott | Chiropractic | 117 E Love St, Mexico, MO 65265-2809 | |
| Lisa J Snow | Clinical Social Worker | 314 E Promenade St, Mexico, MO 65265-2857 | |
| Tonya A Linthacum | Nurse Practitioner | Ssm Audrain Health Care Inc | 620 E Monroe St, Audrain Medical Center, Mexico, MO 65265-2919 |
| Michael W Hagen | Emergency Medicine | Audrain Emergency Group LLC | 620 E Monroe St, Mexico, MO 65265-2919 |
| Mohammad Zubair Malik | Internal Medicine | Audrain Physician Services LLC | 620 E Monroe St, Mexico, MO 65265-2919 |
| Nathan W Skelley | Orthopedic Surgery | Ssm Audrain Health Care Inc | 515 E Promenade, Ssm Health Medical Group Orthopedic Surgery, Mexico, MO 65265-2966 |
| Find all physicians in zip 65265 | |||
| City | MEXICO |
| Zip Code | 65265 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MEXICO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Brian L 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.