Individual
DR. BRYAN I JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2731 NIAZUMA AVE S, BIRMINGHAM, AL 35205-2560
(601) 906-4660
(205) 592-5211
Mailing address
2055 NORMANDIE DR, SUITE 108, MONTGOMERY, AL 36111-2732
(334) 269-6337
(334) 834-0657
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
27435
AL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD27435
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051536602
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
01
—
P00422295
MEDICARE RAILROAD
—
Enumeration date
09/20/2006
Last updated
10/18/2016
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