Active NPI
Bryan I Johnston, MD
- Vascular & Interventional Radiology Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- MD27435
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051536602 | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
| P00422295 | Other | MEDICARE 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
Enrollment records 1
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
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
- Baptist Medical Center East
- Prattville Baptist Hospital
- Vaughan Regional Medical Center Parkway Campus
- Troy Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27435 | AL | MD | Diagnostic Radiology Physician |
| MD27435 | AL | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Imaging Specialists, LLC | Current | Accepting new patients |
Interoperability endpoints
- 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.
-
- Specialist
- Montgomery, AL
- NPI 1689621211
-
- Specialist
- Montgomery, AL
- NPI 1023046604
-
- Specialist
- Montgomery, AL
- NPI 1669429296
-
- Physiological Laboratory
- Montgomery, AL
- NPI 1962468256
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1104917780
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1700977105
-
- General Acute Care Hospital
- Prattville, AL
- NPI 1942391230
-
- Rural Acute Care Hospital
- Troy, AL
- NPI 1770814626
-
- Rural Acute Care Hospital
- Selma, AL
- NPI 1871655993
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.