DR. BRAD DALE JOHNSON MD
NPI 1780734830
Emergency Medicine in Rogers, AR
About Dr. Brad Dale Johnson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRAD DALE JOHNSON MD (NPI 1780734830) is an individual emergency medicine provider in Rogers, Arkansas, licensed in Arkansas (E-1424) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Gravette.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Brad Dale Johnson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Brad Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gravette, AR 72736
- Reassigned Medicare billing, Arkansas enrollment
- 39 clinicians in this Medicare group
Maysville, KY 41056
- Reassigned Medicare billing, Arkansas enrollment
- 310 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72758 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROGERS, AR 72758
ROGERS, AR 72758
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brad Johnson's NPI number?
The NPI number for Brad Johnson is 1780734830. It was assigned to this individual provider in the NPPES registry on January 11, 2007.
Where is Brad Johnson located?
Brad Johnson practices at 2710 Rife Medical Ln, Rogers, AR 72758. The listed phone number is (479) 338-0200.
What is Brad Johnson's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Brad Johnson enrolled in Medicare?
Yes. Brad Johnson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Brad Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brad Johnson reassigns Medicare benefits to 2 organizations: Sgoh Acquisition Inc (Gravette, AR) and Southeastern Emergency Physicians LLC (Maysville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brad Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brad Johnson accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Brad Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Brad Johnson was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Brad Dale Johnson, MD · NPI 1780734830
Emergency Medicine physician in Rogers, Arkansas. Individual provider, active in the CMS NPPES registry since January 11, 2007.
## Identity
- **NPI:** 1780734830 (Entity type: Individual)
- **Enumerated:** January 11, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** E-1424 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2710 RIFE MEDICAL LN, Rogers, AR 72758-1452
- **Phone:** (479) 338-0200 · **Fax:** (479) 338-3388
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sgoh Acquisition Inc (NPI 1568643005, Gravette, AR); Southeastern Emergency Physicians LLC (NPI 1356379382, Maysville, KY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 28, 2022
- **Other identifiers:** Medicaid 135003001 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1780734830) · Data from the CMS NPPES public registry.