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Brian A Johnson MD PC

Non-Pharmacy Dispensing Site in Winamac, IN · enumerated 2006 · authorized official Direndia Shackelford, Managed Care Specialist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1467535799

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Registry record

Entity type Organization (Type 2)
Legal business name Brian A Johnson MD PC
Other name <Unavail>
Practice address 613 Terrace Dr, Winamac, IN, 46996
Phone (574) 946-6644
Enumeration date Oct 23, 2006
Last updated in NPPES Jun 20, 2008

Taxonomy & classification

332900000X Non-Pharmacy Dispensing Site Suppliers · License 5003424A (IN) Primary

Authorized official

Name Direndia Shackelford
Title Managed Care Specialist
Phone (800) 654-0889

Other identifiers

Identifier Type State Issuer
1535561 Other - OTHER ID NUMBER-COMMERCIAL NUMBER
100210710 Medicaid IN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Brian A Johnson MD PC?
Brian A Johnson MD PC is registered in NPPES as a Non-Pharmacy Dispensing Site (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-20.