BRADLEY C JOHNSON

MUNSTER RADIOLOGY GROUP PC

Dr BRADLEY C JOHNSON is a male medical professional, specializing in Physician Assistant. He graduated in 2011.

Contact

MUNSTER RADIOLOGY GROUP PC

4321 FIR ST
EAST CHICAGO
IN
463123049

Tel: 2193921700

BRADLEY C JOHNSON Information

Npi 1134414246
Pac Id 5799954558
Professional Enrollment Id I20180612003117
Last Name JOHNSON
First Name BRADLEY
Middle Name C
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2011
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MUNSTER RADIOLOGY GROUP PC
Group Practice Pac Id 1951299940
Number Of Group Practice Members 23
Line 1 Street Address 4321 FIR ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City EAST CHICAGO
State IN
Zip Code 463123049
Phone Number 2193921700
Hospital Affiliation Ccn 1 150035
Hospital Affiliation Lbn 1 PORTER REGIONAL HOSPITAL
Hospital Affiliation Ccn 2 150125
Hospital Affiliation Lbn 2 COMMUNITY HOSPITAL
Hospital Affiliation Ccn 3 150034
Hospital Affiliation Lbn 3 ST MARY MEDICAL CENTER INC
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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