Whalio Doctors

NPI 1538165295

Brad Russell Johnson, MD

Practitioner Procedural Dermatology Physician Fort Smith, AR

Practice location

Address
9207 Highway 71 S Suite 9, Fort Smith, AR 72916-9117
Phone
(479) 649-3376
Fax
(479) 646-0133

Registered specialties (6)

Procedural Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207NS0135X Licence E-4601 (AR)
Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence E-4601 (AR)
MOHS-Micrographic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence E-4601 (AR)
Dermatopathology Physician
Allopathic & Osteopathic Physicians Taxonomy 207ND0900X Licence E4601 (AR)
Clinical & Laboratory Dermatological Immunology Physician
Allopathic & Osteopathic Physicians Taxonomy 207NI0002X Licence E-4601 (AR)
Pediatric Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207NP0225X Licence E-4601 (AR)

Registry record

NPI
1538165295
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Jun 2005
Record last updated
11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.