Meredith Johnston Brazell, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OS15757 Issued in FL

Practice address

70 Venture Valley CT Ste 220
Ponte Vedra, FL 32081-6255

Phone

(904) 659-9818

NPI assigned

Jun 25, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Meredith Lynn Johnston Former name

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mbrazell743982@direct.shands.ufl.edu

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

• Villages Regional Hospital Physician Services LLC

  • Surgery Physician
  • Leesburg, FL
  • NPI 1700669926
  Medicare reassignment NPD

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1073952909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 VENTURE VALLEY CT STE 220",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320816255",
            "telephone_number": "904-659-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 VENTURE VALLEY CT STE 220",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320816255",
            "telephone_number": "904-659-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZELL",
        "first_name": "MEREDITH",
        "middle_name": "JOHNSTON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS15757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "JOHNSTON",
            "middle_name": "LYNN",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bluebird Pediatrics
• Bluewater Wellness Center
• Jennifer Borgio, ATC
• William David Boyd, M.D.
• Melanie Loretta Bradley, DO
• Julie Bredt, ARNP-FNP
• Michele Brenneman, PH.D.
• Jeffrey Joseph Brimmer, D.P.M.
• Josephine Elizabeth Brooke, APRN
• Renee Brooke, CCC-SLP

• Pediatrics Physician in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.