NPI Details
DR. Brad Russell Johnson, MD is a procedural dermatology dermatology in Fort Smith, AR with 26 years of experience. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). DR. Brad Russell Johnson, MD NPI is 1538165295. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:2000
The provider's business location address is:
9207 HIGHWAY 71 S
SUITE 9
FORT SMITH, AR
ZIP 72916-117
Phone: (479) 649-3376
Fax: (479) 646-0133
The NPI 1538165295 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks (HCPCS:17311)
- Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
- Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
- Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
- Pathology examination of specimen during surgery, first tissue block (HCPCS:88331)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
- Destruction of precancer skin growth, 1 growth (HCPCS:17000)
- Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks (HCPCS:17312)
- Biopsy of related skin growth, first growth (HCPCS:11102)
- Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
- Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks (HCPCS:17313)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm (HCPCS:13152)
- Biopsy of related skin growth, each additional growth (HCPCS:11103)
- Destruction of skin growth, 1-14 growths (HCPCS:17110)
- Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less (HCPCS:13122)
- Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 5.0 cm or less (HCPCS:13133)
- Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS:13101)
- Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
- Pathology examination of specimen during surgery, each additional tissue block (HCPCS:88332)
- Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11603)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 6/27/2005 and was last updated on 9/11/2025.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207N00000X | Dermatology | | E-4601 | ARKANSAS | No |
| 2 | 207ND0101X | Dermatology | MOHS-Micrographic Surgery | E-4601 | ARKANSAS | No |
| 3 | 207ND0900X | Dermatology | Dermatopathology | E4601 | ARKANSAS | No |
| 4 | 207NI0002X | Dermatology | Clinical & Laboratory Dermatological Immunology | E-4601 | ARKANSAS | No |
| 5 | 207NP0225X | Dermatology | Pediatric Dermatology | E-4601 | ARKANSAS | No |
| 6 | 207NS0135X | Dermatology | Procedural Dermatology | E-4601 | ARKANSAS | Yes |