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Dr. Brad M Johnston, MD
Diagnostic Radiology Physician in Fort Wayne, Indiana
NPI 1114971223

Brad M Johnston is a Diagnostic Radiology Physician based in Fort Wayne, IN and is specialized in Diagnostic Radiology. Brad M Johnston practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Brad M Johnston is 1114971223 and holds a License No. 01056073A (Indiana).

The current practice location address for Brad M Johnston is 3707 New Vision Dr, Fort Wayne, IN and can be reached out via phone at 260-471-9466 and via fax at 260-484-5919.

Location: 3707 New Vision Dr, Fort Wayne, IN, 46845-1702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114971223
Provider Name
Brad M Johnston
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3707 New Vision Dr, Fort Wayne, IN, 46845-1702
Phone Number
260-471-9466
Fax Number
260-484-5919
Provider Enumeration Date
05/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200491720 05 IN
000000362157 01 IN ANTHEM
institution
Provider Business Practice Location Address Details
Address
3707 New Vision Dr
City
Fort Wayne
State
Indiana
Zip
46895-5602
Phone Number
260-471-9466
Fax Number
260-484-5919
person
Provider Business Mailing Address Details
Address
3707 New Vision Dr
City
Fort Wayne
State
Indiana
Zip
46895-5602
Phone Number
260-471-9466
Fax Number
260-484-5919
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
01056073A (Indiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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