Individual provider Active NPI

Bryan I Johnston, MD

  • Vascular & Interventional Radiology Physician
  • Birmingham, AL
National Provider Identifier
1154428159
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD27435 Issued in AL
Practice address
2731 Niazuma Ave S
Birmingham, AL 35205-2560
Phone
(601) 906-4660
Fax
(205) 592-5211
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 27435 AL
Vascular & Interventional Radiology Physician 2085R0204X MD27435 AL Primary

Addresses

Primary practice location

2731 Niazuma Ave S
Birmingham, AL 35205-2560

Mailing address

2055 Normandie Dr
Suite 108
Montgomery, AL 36111-2732
Phone (334) 269-6337

Other identifiers 2

IdentifierTypeStateIssuer
051536602OtherALBLUE CROSS BLUE SHIELD OF ALABAMA
P00422295OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070129000642 AL Practitioner - Diagnostic RadiologyPractitioner - Family Practice 7012918345 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Mississippi School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery Radiology Associates PAGroup PAC ID 2961301999, 39 clinicians
Selma Radiology Associates P CGroup PAC ID 3870497720, 28 clinicians
Alabama Imaging PCGroup PAC ID 2365341328, 32 clinicians

Practice addresses (Care Compare)

101 Crestview Ave
Evergreen, AL 36401-3333
Phone (251) 578-2480

105 US Hwy 80 E
Demopolis, AL 36732-3605
Phone (800) 889-8610

124 S Memorial Dr
Prattville, AL 36067-3619
Phone (334) 365-0651

126 Hospital Ave
Ozark, AL 36360-2018
Phone (334) 774-2601

1301 Belleville Ave
Brewton, AL 36426-1306
Phone (800) 889-8610

1330 Hwy 231 S
Troy, AL 36081-3058
Phone (334) 670-5000

14600 Saint Stephens Ave
Chatom, AL 36518-6711
Phone (251) 847-2223

2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 269-6337

201 Mariarden Rd
Dadeville, AL 36853-6244
Phone (256) 825-3242

2016 S Alabama Ave
Monroeville, AL 36460-3044
Phone (800) 889-8610

2055 Normandie Dr
Montgomery, AL 36111-2732
Phone (334) 288-2100

208 Pierson Ave
Centreville, AL 35042-2918
Phone (205) 926-3246

2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 288-2100

220 Hospital Dr
Jackson, AL 36545-2459
Phone (251) 246-9021

29 L V Stabler Dr
Greenville, AL 36037-3850
Phone (334) 382-2671

295 S Jackson St
Grove Hill, AL 36451-3231
Phone (251) 275-3191

400 Taylor Rd
Montgomery, AL 36117-3512
Phone (334) 277-8330

401 Medical Park Dr
Atmore, AL 36502-3006
Phone (251) 368-2500

Hospital & facility affiliations

  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023
  • Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149
  • Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108
  • Vaughan Regional Medical Center Parkway Campus Hospital, Selma, AL, CCN 010118
  • Troy Regional Medical Center Hospital, Troy, AL, CCN 010126

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27435ALMDDiagnostic Radiology Physician
MD27435ALMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Imaging Specialists, LLC CurrentSince Jul 1, 2012 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bryan.johnston@direct.baptistfirst.org

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1154428159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 NORMANDIE DR",
            "address_2": "SUITE 108",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361112732",
            "telephone_number": "334-269-6337",
            "fax_number": "334-834-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 NIAZUMA AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052560",
            "telephone_number": "601-906-4660",
            "fax_number": "205-592-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "BRYAN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "27435",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AL",
            "license": "MD27435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "051536602",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00422295",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.