Active NPI
Brian Bradley Johnson, MD
- MOHS-Micrographic Surgery Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 0101279110
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Eastern Virginia Medical School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12695 McManus Blvd
Suite 4Aandb
Newport News, VA 23602-4435
Phone (757) 369-0439
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 191 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 920 |
| Removal of skin cancer | 60 |
| Removal or shaving of skin growth | 15 |
| Skin biopsy | 424 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Arundel Dermatology LLC | Dermatology | Current | Accepting new patients |
| Virginia Dermatology Skin Cancer Center Suffolk | Past | 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
- bbjohnson@aadermaffiliates.emadirect.md
- 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.
-
dba virginia dermatology and skin cancer center suffolk
- Specialist
- Suffolk, VA
- NPI 1497032205
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.