Individual provider Active NPI

Brian Humphrey Johns, MD, MFA

  • Psychiatry Physician
  • Minneapolis, MN
National Provider Identifier
1174757769
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
39020000X Issued in MN
Practice address
2450 Riverside Ave
F282/2a West
Minneapolis, MN 55454-1450
Phone
(612) 273-9800
NPI assigned
May 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 39020000X MN Primary

Addresses

Primary practice location

2450 Riverside Ave
F282/2a West
Minneapolis, MN 55454-1450

Mailing address

2450 Riverside Ave
F282/2a West
Minneapolis, MN 55454-1450
Phone (612) 273-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20130807000189 MN Practitioner - Psychiatry 3577705359 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Minnesota Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Danielle Golden, Crna, PAGroup PAC ID 6305934597, 30 clinicians

Practice addresses (Care Compare)

701 Decatur Ave N
Suite 109
Golden Valley, MN 55427-4363
Phone (952) 431-5330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Fine Arts

State licenses

LicenseStateTypeSpecialty
39020000XMNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Brain and Body Clinic PLLC CurrentSince Feb 17, 2021 Accepting new patients
Danielle Golden, Crna, PA Psychiatry CurrentSince Jul 1, 2025 Accepting new patients

Locations

701 Decatur Ave N
Ste 109
Minneapolis, MN 55427
Phone (763) 746-2400

13911 Ridgedale Dr
Ste 110
Minnetonka, MN 55305
Phone 6053488000 ext. 211

3555 Willow Lake Blvd
Ste 290
Vadnais Heights, MN 55110

3640 Talmage Cir
Ste 216
Vadnais Hts, MN 55110
Phone (651) 379-4006

636 Saint Anne St
Rapid City, SD 57701
Phone (605) 348-8000

Interoperability endpoints

  • Direct secure messaging: advancedbrainbody.brianjohns@159081.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242000000000",
    "number": "1174757769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 RIVERSIDE AVE",
            "address_2": "F282/2A WEST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541450",
            "telephone_number": "612-273-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 RIVERSIDE AVE",
            "address_2": "F282/2A WEST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541450",
            "telephone_number": "612-273-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "BRIAN",
        "middle_name": "HUMPHREY",
        "name_prefix": "Dr.",
        "credential": "MD, MFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-11",
        "last_updated": "2009-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "39020000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.