Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bryan Johnston

Individual provider Family Medicine Physician · NPI 1053773374

Bryan Johnston is a Family Practice in Milwaukee, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2016, 10 years ago. Practices with Outreach Community Health Centers Inc, a 52-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
10
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2016
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Practice location Address checks out

2400 W Villard Ave
Milwaukee, WI 53209-4901
Phone: (414) 527-8348
Fax: (414) 527-8046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1121 E North Ave, Milwaukee, WI 53212-3515 — (414) 267-6502

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 68134 (WI)

Record details

NPI number1053773374
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 25, 2016
Last updated in NPPESJuly 25, 2019
Mailing address2400 W Villard Ave, Milwaukee, WI 53209-4901

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Outreach Community Health Centers Inc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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