Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRAD RUSSELL JOHNSON, MD
ActiveProcedural Dermatology · FORT SMITH, AR
Registration Details
- NPI Number
- 1538165295
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2005 (20.818548082291 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
E-4601 (AR)E-4601 (AR)E4601 (AR)E-4601 (AR)E-4601 (AR)
Practice Information
- Address
-
9207 HIGHWAY 71 SSUITE 9FORT SMITH, AR, 729169117Browse AR providers · Browse ZIP 72916
- Phone
- 4796493376
- Fax
- 4796460133
- Primary Specialty
-
Procedural Dermatology
207NS0135X
- Additional Specialty
- Obesity Medicine
- Additional Specialty
- Dermatopathology
- Additional Specialty
- Clinical & Laboratory Dermatological Immunology
- Additional Specialty
- 207NP0225X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.