Active NPI
Bradley Keith Johnson, CRNA
- Certified Registered Nurse Anesthetist
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1071412
- Practice address
- 2105 East South Blvd
Montgomery, AL 36116 - Phone
- (334) 288-2100
- NPI assigned
- May 17, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1071412 | AL | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 4049185 | KY | |
| Certified Registered Nurse Anesthetist | 367500000X | GAA-CRNA001829 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN11046584 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024196080 | VA |
Addresses
Primary practice location
2105 East South Blvd
Montgomery, AL 36116
Mailing address
PO Box 235022
Montgomery, AL 36123-5022
Phone (334) 386-2051
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009966835 | Medicaid | AL | |
| 051524132 | Other | AL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, GA, KY
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 N Race St
Glasgow, KY 42141-3454
Phone (270) 651-4444
1725 Pine St
Montgomery, AL 36106-1109
Phone (334) 513-1173
2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 286-3579
400 Taylor Rd
Montgomery, AL 36117-3512
Phone (334) 277-8330
710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1071412 | AL | MD | Certified Registered Nurse Anesthetist |
| APRN11046584 | FL | MD | Certified Registered Nurse Anesthetist |
| GAA-CRNA001829 | GA | MD | Certified Registered Nurse Anesthetist |
| 4049185 | KY | MD | Certified Registered Nurse Anesthetist |
| 0024196080 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentry Anesthesia Management, LLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Georgia - TCS, PC | Current | Accepting new patients | |
| Coastal Healthcare Resources Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Premier Anesthesia of Montgomery PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Network Services, LLC | Past | Accepting new patients |
Locations
2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842
400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287
1501 Forest Ave
Montgomery, AL 36106
Phone (334) 265-3140
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Montgomery, AL
- NPI 1780636233
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Columbus, GA
- NPI 1033926191
-
- Anesthesiology Physician
- Montgomery, AL
- NPI 1043281553
-
- Family Medicine Physician
- Glasgow, KY
- NPI 1477609865
-
- Anesthesiology Physician
- Florence, SC
- NPI 1467635128
AL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1134544794
-
- Anesthesiology Physician
- Ocala, FL
- NPI 1508199142
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 1700977105
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1043262488
-
- General Acute Care Hospital
- Glasgow, KY
- NPI 1770581894
-
- General Acute Care Hospital
- Columbus, GA
- NPI 1255401519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1811949555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 235022",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361235022",
"telephone_number": "334-386-2051",
"fax_number": "334-396-6929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 EAST SOUTH BLVD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "36116",
"telephone_number": "334-288-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "BRADLEY",
"middle_name": "KEITH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2026-07-13",
"certification_date": "2026-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1071412",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "4049185",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "GAA-CRNA001829",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11046584",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024196080",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009966835",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051524132",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.