Individual provider Active NPI

Brad M Johnston, M.D.

  • Diagnostic Radiology Physician
  • Fort Wayne, IN
National Provider Identifier
1114971223
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01056073A Issued in IN
Practice address
3707 New Vision Dr
Fort Wayne, IN 46895-5602
Phone
(260) 471-9466
Fax
(260) 484-5919
NPI assigned
May 22, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01056073A IN Primary

Addresses

Primary practice location

3707 New Vision Dr
Fort Wayne, IN 46895-5602

Mailing address

3707 New Vision Dr
Fort Wayne, IN 46845-1702
Phone (260) 969-1124

Other identifiers 2

IdentifierTypeStateIssuer
200491720MedicaidIN
000000362157OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041020001085 IN Practitioner - Diagnostic Radiology 0042271389 Reassigns benefits to 3 organizations
I20050915000484 OH Practitioner - Diagnostic Radiology 0042271389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Wayne Radiology Associates LLCGroup PAC ID 5294624060, 35 clinicians

Practice addresses (Care Compare)

1035 W Wayne St
Paulding, OH 45879-1544
Phone (419) 399-4080

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 266-1000

3707 New Vision Dr
Fort Wayne, IN 46845-1702

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.28 of 100Reported as group
Quality
77.29
Improvement activities
40
Cost
73.88

Merit-based Incentive Payment System (MIPS)

Final score
85.81 of 100Reported as group
Quality
80.59
Promoting interoperability
100
Improvement activities
40
Cost
72.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Connections, Inc. Diagnostic Radiology CurrentSince Jan 1, 2008 Accepting new patients
Fort Wayne Radiology Associates LLC Diagnostic Radiology CurrentSince Jul 1, 2005 Accepting new patients
Community Hospitals and Wellness Centers CurrentSince Mar 16, 2021 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. CurrentSince Jan 1, 2008 Accepting new patients
Community Hospitals and Wellness Centers CurrentSince Mar 16, 2021 Accepting new patients
Summit Radiology P C Diagnostic Radiology Past Accepting new patients
Indiana University Radiology Associates, Inc. Diagnostic Radiology Past Accepting new patients
Indiana University Health, Inc Past Accepting new patients
Indiana Radiology Partners, Inc Diagnostic Radiology Past Accepting new patients
Parkview Hospital Inc. Past Accepting new patients
MRI Center - Fort Wayne Radiology Inc Diagnostic Radiology Past Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

10202 Coldwater Rd
Ste A
Fort Wayne, IN 46825
Phone (260) 469-2525

11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020

11123 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (219) 432-6710

1818 Carew St
Ste 30
Fort Wayne, IN 46805
Phone (260) 425-5900

2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000

2414 E State Blvd
#200
Fort Wayne, IN 46805
Phone (219) 422-9466

2414 E State Blvd
Ste 200
Fort Wayne, IN 46805
Phone (219) 484-0850

3707 New Vision Dr
Fort Wayne, IN 46845
Phone (260) 373-4000

7230 Engle Rd
Ste 110
Fort Wayne, IN 46804
Phone (219) 484-0850

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

1331 Minnich Rd
New Haven, IN 46774
Phone (260) 425-5000

1104 N Wayne St
North Manchester, IN 46962
Phone (260) 982-2102

1355 Mariners Dr
Warsaw, IN 46582
Phone (574) 267-6778

121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

909 E Snyder Ave
Montpelier, OH 43543
Phone (419) 485-3154

1035 W Wayne St
Paulding, OH 45879
Phone (419) 399-4080

Interoperability endpoints

  • Direct secure messaging: bjohnsto@direct.iuhealth.org
  • Direct secure messaging: bjohnston@yourcarecommunity.org
  • Direct secure messaging: bjohnston4982@direct.parkviewexchange.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114971223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 NEW VISION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451702",
            "telephone_number": "260-969-1124",
            "fax_number": "614-210-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 NEW VISION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468955602",
            "telephone_number": "260-471-9466",
            "fax_number": "260-484-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "BRAD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01056073A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200491720",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000362157",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.