Brian Wayne Johnson, DO
Individual provider Active NPI Diagnostic Radiology Physician · Minot, ND
NPI 1619166196 · NPPES record last updated Sep 23, 2025
Key facts
- NPI
- 1619166196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 16571 (ND)
- Practice address
- 2305 37TH Ave SW
Minot, ND 58701-7669 - Phone
- (701) 418-8000
- NPI assigned
- Oct 19, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trinity Health
Quentin N Burdick Comprehensive Health Care Facility
Practice addresses (Care Compare)
1 Burdick Expy W
Minot, ND 58701-4406
Phone (701) 857-5000
PO Box
160 1300 Hospital Loop
Belcourt, ND 58316-0160
Hospital & facility affiliations
- Trinity Hospitals
- St Andrew'S Hospital
- P H S Indian Hosp at Belcourt-Quentin N Burdick
- Tioga Medical Center
- Mountrail County Medical Center Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 42.91 of 100
- Quality
- 5.54
- Improvement activities
- 40
- Cost
- 66.19
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.05 of 100
- Quality
- 60.57
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 77.93
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ND, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200716001048 | ND | Practitioner - Diagnostic Radiology | 8022199462 | Reassigns benefits to 1 organization |
| I20221117002525 | TX | Practitioner - Diagnostic Radiology | 8022199462 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10562 | MN | MD | Speech-Language Pathologist |
| 2210 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quentin N Burdick Comprehensive Health Care Facility | Current |
Accepting new patients | |
| Trinity Health | Current |
Accepting new patients | |
| Trinity Health | Current |
Accepting new patients | |
| Trinity Health | Current | Accepting new patients | |
| Hans Bjellum MD PC | Past | Accepting new patients | |
| Carrington Health Center | Past | Accepting new patients |
Locations
2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222
1300 Hospital Loop
Belcourt, ND 58316
101 3rd Ave SW
Minot, ND 58701
Phone (701) 857-5286
2305 37th Ave SW
Minot, ND 58701
Phone (701) 418-8550
1 Burdick Expy W
Minot, ND 58701
Phone (701) 857-5124
4100 W 150th St
#3
Cleveland, OH 44135
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2210 | WI | |
| Diagnostic Radiology Physician | 2085R0202X | 297697 | NY | |
| Physician Assistant | 363A00000X | 10562 | MN | |
| Diagnostic Radiology Physician | 2085R0202X | 16571 | ND | Yes |
Addresses
Primary practice location
2305 37TH Ave SW
Minot, ND 58701-7669
Mailing address
PO Box 5010
Minot, ND 58702-5010
Phone (701) 418-8000
Other practice location 1
221 Lexington Ave
New York, NY 10016-4640
Phone (500) 221-2731
Other practice location 2
1 Burdick Expy W
Minot, ND 58701-4406
Phone (701) 857-5220
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Minot, ND
- Bobbie Jeter
- Mitchell Johannes
- Johnson Eyecare PC
- Abigail A Johnson
- Arleisha Tyjuana Johnson
- Brooke D Johnson
- Carmin Johnson
- Celia Johnson
- Darin Lee Johnson
- Deborah K Johnson
All providers in Minot, ND · Diagnostic Radiology Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.