Active NPI
Brad Allen Janson, M.D.
- Diagnostic Radiology Physician
- Mason City, IA
National Provider Identifier
1497709372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 27993
- Practice address
- 1010 4TH St SW
Suite 100
Mason City, IA 50401-2857 - Phone
- (641) 424-0102
- NPI assigned
- May 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 27993 | IA | Primary |
Addresses
Primary practice location
1010 4TH St SW
Suite 100
Mason City, IA 50401-2857
Mailing address
1416 6TH St SW
Mason City, IA 50401-4818
Phone (641) 424-0102
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07225 | Other | IA | WELLMARK BCBS OF IA |
| 1034967 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27993 | IA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiologists of North Iowa PC | Current | Accepting new patients | |
| Magnetic Resonance Services PTR | Past | Accepting new patients |
Locations
1416 6th St SW
Mason City, IA 50401
Phone (515) 424-4932
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.
-
- Gynecology Physician
- Mason City, IA
- NPI 1548093628
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Mason City, IA
- NPI 1093767113
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": "1675900800000",
"number": "1497709372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1416 6TH ST SW",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504014818",
"telephone_number": "641-424-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 4TH ST SW",
"address_2": "SUITE 100",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504012857",
"telephone_number": "641-424-0102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANSON",
"first_name": "BRAD",
"middle_name": "ALLEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IA",
"license": "27993",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS OF IA",
"identifier": "07225",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1034967",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mason City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.