Active NPI
Brad Robert Johnston, CRNA
- Certified Registered Nurse Anesthetist
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ANT3177982
- Practice address
- 801 E 6TH St
Suite 205
Panama City, FL 32401-3661 - Phone
- (850) 785-3185
- Fax
- (850) 785-6233
- NPI assigned
- Feb 5, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ANT3177982 | FL | Primary |
Addresses
Primary practice location
801 E 6TH St
Suite 205
Panama City, FL 32401-3661
Mailing address
801 E 6TH St
Suite 205
Panama City, FL 32401-3661
Phone (850) 785-3185
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G4459 | Other | FL | BCBS |
| ANT3177982 | Other | FL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3929 E Bell Rd
Phoenix, AZ 85032-2112
Phone (623) 923-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ANT3177982 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascend Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Az Care Anesthesia , PLC | Current | Accepting new patients | |
| Dec Anesthesia LLC | Current | Accepting new patients | |
| Summit Anesthesia Services PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Arizona Digestive Health, PC | Past | Accepting new patients | |
| Mesa Az Endoscopy ASC LLC | Past | Accepting new patients | |
| Pinnacle Global Health LLC | Past | Accepting new patients |
Locations
603 W Baseline Rd
Ste 101
Mesa, AZ 85210
Phone (480) 969-0405
1902 W Union Hills Dr
Unit 41340
Phoenix, AZ 85080
2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080
13640 N 99th Ave
Ste 600
Sun City, AZ 85351
Phone (623) 523-0580
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Mesa, AZ
- NPI 1407642945
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Phoenix, AZ
- NPI 1821589144
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Sun City, AZ
- NPI 1043642796
-
- Anesthesiology Physician
- Mesa, AZ
- NPI 1093006520
-
- Gastroenterology Physician
- Scottsdale, AZ
- NPI 1992981583
-
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
- NPI 1770557233
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Phoenix, AZ
- NPI 1114832417
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1326022732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1104004894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 E 6TH ST",
"address_2": "SUITE 205",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324013661",
"telephone_number": "850-785-3185",
"fax_number": "850-785-6233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E 6TH ST",
"address_2": "SUITE 205",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324013661",
"telephone_number": "850-785-3185",
"fax_number": "850-785-6233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "BRAD",
"middle_name": "ROBERT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-05",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ANT3177982",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "G4459",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "ANT3177982",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.