Individual
DR. BRAD RUSSELL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9207 HIGHWAY 71 S, SUITE 9, FORT SMITH, AR 72916-9117
(479) 649-3376
(479) 646-0133
Mailing address
9207 HIGHWAY 71 S, SUITE 9, FORT SMITH, AR 72916-9117
(479) 649-3376
(479) 646-0133
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
E-4601
AR
207ND0101X
MOHS-Micrographic Surgery Physician
E-4601
AR
207ND0900X
Dermatopathology Physician
E4601
AR
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
E-4601
AR
207NP0225X
Pediatric Dermatology Physician
E-4601
AR
207NS0135X
Procedural Dermatology Physician
Primary
E-4601
AR
Other
Enumeration date
06/27/2005
Last updated
09/11/2025
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