OrganizationActive
Brian a Johnson MD PC
NPI 1467535799 · Non-Pharmacy Dispensing Site · Winamac, IN
Brian a Johnson MD PC is a Non-Pharmacy Dispensing Site organization in Winamac, IN (NPI 1467535799).
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
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
613 Terrace Dr
Winamac, IN 46996-1111
Phone: (574) 946-6644
Street-level locationGet directions
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
Frequently asked questions
- What is Brian a Johnson MD PC's NPI number?
- Brian a Johnson MD PC's National Provider Identifier (NPI) is 1467535799, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brian a Johnson MD PC?
- Brian a Johnson MD PC is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Brian a Johnson MD PC located?
- Brian a Johnson MD PC's practice location on file with NPPES is 613 Terrace Dr, Winamac, IN 46996-1111.
- What is Brian a Johnson MD PC's phone number?
- The practice phone number listed in the NPPES registry for Brian a Johnson MD PC is (574) 946-6644.
- Who is the authorized official for Brian a Johnson MD PC?
- The authorized official listed on Brian a Johnson MD PC's NPPES record is Direndia Shackelford, Managed Care Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brian a Johnson MD PC's NPI active?
- Yes — Brian a Johnson MD PC's NPI (1467535799) is active in the NPPES registry as of the last update on 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.