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Brian a Johnson MD PC — NPI 1467535799, Winamac, IN | NPI Central

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NPI 1467535799

OrganizationActive

Brian a Johnson MD PC

NPI 1467535799 · Non-Pharmacy Dispensing Site · Winamac, IN

Provider details

NPI number: 1467535799
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Organization subpart: No
Authorized official: Direndia Shackelford, Managed Care Specialist(800) 654-0889
License: 5003424A (IN)

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000XLicense 5003424A (IN)
Suppliers

Practice location

613 Terrace Dr

Winamac, IN 46996-1111

Phone: (574) 946-6644

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

613 Terrace Dr

Winamac, IN 46996-1111

Other names (DBA / former)

Doing business as: Brian a Johnson MD

Registry dates

Enumerated: 2006-10-23
Last updated: 2008-06-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.