Brian T Johnson, MD PL

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME0057286 Issued in FL

Practice address

1805 Cypress Brook Dr
Suite 101
Trinity, FL 34655-4417

Phone

(727) 264-8833

Fax

(727) 264-8827

NPI assigned

Aug 30, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

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

Specialty

Dermatology

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brian T. Johnson M.D. PLGroup PAC ID 3971761255, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Brian T. Johnson M.D. PL

  • Dermatology Physician
  • Trinity, FL
  • NPI 1548538630
  Medicare reassignment Care Compare group NPD Authorized official
• Brian T. Johnson, MD, PA

  • Dermatology Physician
  • New Port Richey, FL
  • NPI 1033238415
  NPD Authorized official

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1578556189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 CYPRESS BROOK DR",
            "address_2": "SUITE 101",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554417",
            "telephone_number": "727-264-8833",
            "fax_number": "727-264-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 CYPRESS BROOK DR",
            "address_2": "SUITE 101",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554417",
            "telephone_number": "727-264-8833",
            "fax_number": "727-264-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRIAN",
        "middle_name": "T",
        "credential": "MD PL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0057286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2372307",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01014397",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD FLORIDA GROUP ID#",
            "identifier": "002WH",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD FLORIDA ID#",
            "identifier": "10230",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00181819",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROV AND GROUP #",
            "identifier": "DC6458",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROV AND GROUP #",
            "identifier": "DS2914",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raul A. Jimenez, MD
• Jincy Daniel DMD PA
• Daniel Joe
• Enola Daphne Rieta Joefield, M.A.
• Benston Daniel Johnson, DO
• Dana Johnson, PHD, MS, OTR/L
• Mackenzie Johnson, APRN
• Victor Alexander Jolly, MD
• Brant Michael Jones
• Jess Jones

• Dermatology Physician in Trinity, FL
• Providers in Trinity, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.

Verify at the official NPI Registry.