Individual provider Active NPI

Brian Bradley Johnson, MD

  • MOHS-Micrographic Surgery Physician
  • Norfolk, VA
National Provider Identifier
1033630330
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
0101279110 Issued in VA
Practice address
5630 Lowery Rd Ste 200
Norfolk, VA 23502-2233
Phone
(757) 455-5009
Fax
(757) 362-3577
NPI assigned
Jun 28, 2017
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101279110 VA
Dermatology Physician 207N00000X 295178 NY
Dermatology Physician 207N00000X MD478832 PA
MOHS-Micrographic Surgery Physician 207ND0101X 0101279110 VA Primary

Addresses

Primary practice location

5630 Lowery Rd Ste 200
Norfolk, VA 23502-2233

Mailing address

5630 Lowery Rd Ste 200
Norfolk, VA 23502-2233
Phone (757) 455-5009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230914000423 DC Practitioner - Dermatology 1850626813 Reassigns benefits to 1 organization
I20231019003663 VA Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 1850626813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Eastern Virginia Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anne Arundel Dermatology PAGroup PAC ID 6608761960, 126 clinicians

Practice addresses (Care Compare)

12695 McManus Blvd
Suite 4Aandb
Newport News, VA 23602-4435
Phone (757) 369-0439

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision191
Removal of tissue1-10
Removal of skin lesions920
Removal of skin cancer60
Removal or shaving of skin growth15
Skin biopsy424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Arundel Dermatology LLC Dermatology CurrentSince Aug 10, 2023 Accepting new patients
Virginia Dermatology Skin Cancer Center Suffolk PastSince Sep 6, 2023 Accepting new patients

Locations

6410 Rockledge Dr
Ste 402
Bethesda, MD 20817
Phone (301) 530-4800

1306 Concourse Dr
Ste 201
Linthicum Heights, MD 21090

12695 McManus Blvd
Bldg 4A
Newport News, VA 23602
Phone (757) 369-0439

12695 McManus Blvd
Ste 4AB
Newport News, VA 23602
Phone (757) 369-0439

5630 Lowery Rd
Norfolk, VA 23502
Phone (757) 394-1540

5630 Lowery Rd
Ste 200
Norfolk, VA 23502
Phone (757) 455-5009

1035 Champions Way
Ste 100
Suffolk, VA 23435
Phone (757) 394-1540

1069 Centerbrooke Ln
Suffolk, VA 23434
Phone (757) 925-1860

125 Market St
Virginia Beach, VA 23462
Phone (757) 437-8900

Interoperability endpoints

  • Direct secure messaging: bbjohnson@aadermaffiliates.emadirect.md
  • Direct secure messaging: bjohnson180558@direct-guthrie.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1033630330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5630 LOWERY RD STE 200",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022233",
            "telephone_number": "757-455-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 LOWERY RD STE 200",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022233",
            "telephone_number": "757-455-5009",
            "fax_number": "757-362-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRIAN",
        "middle_name": "BRADLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101279110",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "295178",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD478832",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "VA",
            "license": "0101279110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.