Provider Demographics
NPI:1023091857
Name:JOHNSON, DARRIN LEE (MD)
Entity type:Individual
Prefix:DR
First Name:DARRIN
Middle Name:LEE
Last Name:JOHNSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 FRANKLIN ST SE STE 200
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4537
Mailing Address - Country:US
Mailing Address - Phone:256-539-0457
Mailing Address - Fax:256-539-5827
Practice Address - Street 1:2006 FRANKLIN ST SE
Practice Address - Street 2:SUITE 200
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4551
Practice Address - Country:US
Practice Address - Phone:256-539-0457
Practice Address - Fax:256-539-5827
Is Sole Proprietor?:No
Enumeration Date:2005-11-25
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL256912085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009942881Medicaid
AL009959895Medicaid
AL009959905Medicaid
AL247865Medicaid
AL248536Medicaid
AL51595651OtherBCBS
AL51595653OtherBCBS
AL247653Medicaid
AL51523000OtherBCBS OF AL
AL135503Medicaid
AL51067178OtherBCBS
AL51595650OtherBCBS
AL009911027Medicaid
AL247954Medicaid
AL51595655OtherBCBS
AL009959915Medicaid
AL247652Medicaid
AL248368Medicaid
AL051554750Medicaid
AL210886Medicaid
51545591OtherBCBS-ONC. SPEC.
AL126968Medicaid
AL51595652OtherBCBS
AL51595654OtherBCBS