Active NPI
Brandon Shutty, DO
- MOHS-Micrographic Surgery Physician
- Key West, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- OS13979
- Practice address
- 1111 12TH St Ste 112
Key West, FL 33040-4087 - Phone
- (305) 363-4950
- Fax
- (305) 363-4951
- NPI assigned
- Jul 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | OS13979 | FL | Primary |
| Dermatology Physician | 207N00000X | OS13979 | FL |
Addresses
Primary practice location
1111 12TH St Ste 112
Key West, FL 33040-4087
Mailing address
2160 Duck Slough Blvd Ste 103
Trinity, FL 34655-5007
Phone (727) 807-9070
Other practice location 1
2160 Duck Slough Blvd Ste 103
Trinity, FL 34655-5007
Phone (727) 807-9070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, OH
- 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
- Lake Erie College of Osteopathic Medicine, Bradenton, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 12TH St
Suite 112
Key West, FL 33040-4087
Phone (305) 294-1779
2111 E State St
Athens, OH 45701-2138
Phone (740) 566-4621
2160 Duck Slough Blvd
Suite 103
Trinity, FL 34655-5007
Phone (727) 807-9070
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 30 |
| Removal of skin lesions | 215 |
| Removal of skin cancer | 178 |
| Skin biopsy | 125 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuroscience Associates Inc | Current | Accepting new patients | |
| Oakview Dermatology | Dermatology | Current | Accepting new patients |
| Neuroscience Associates Inc | Current | Accepting new patients | |
| Dermatology Associates of the Palm Beaches PLLC | Dermatology | Current | Accepting new patients |
| Skin and Cancer Associates | Dermatology | Past | Accepting new patients |
Locations
1111 12th St
Ste 112
Key West, FL 33040
Phone (305) 292-2625
925 Toppino Dr
Key West, FL 33040
Phone (305) 296-2212
1111 12th St
Ste 212
Key West, FL 33040
Phone (305) 296-2212
2160 Duck Slough Blvd
Ste 103
Trinity, FL 34655
Phone (727) 789-9006
1551 Forum Pl
Ste 100A
West Palm Beach, FL 33401
Phone (561) 659-1510
2111 E State St
Athens, OH 45701
Phone (740) 300-1746
Organizations & group practices 6
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.
-
- Dermatology Physician
- West Palm Beach, FL
- NPI 1649260308
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Key West, FL
- NPI 1063834901
-
- Dermatology Physician
- Athens, OH
- NPI 1063671063
-
- Dermatology Physician
- Sarasota, FL
- NPI 1700202298
-
- Orthopaedic Foot and Ankle Surgery Physician
- Key West, FL
- NPI 1598323214
-
- Dermatology Physician
- Plantation, FL
- NPI 1740737576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1598020059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 DUCK SLOUGH BLVD STE 103",
"city": "TRINITY",
"state": "FL",
"postal_code": "346555007",
"telephone_number": "727-807-9070",
"fax_number": "727-807-5801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 12TH ST STE 112",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330404087",
"telephone_number": "305-363-4950",
"fax_number": "305-363-4951"
}
],
"practiceLocations": [
{
"address_1": "2160 Duck Slough Blvd Ste 103",
"address_purpose": "LOCATION",
"city": "Trinity",
"state": "FL",
"postal_code": "346555007",
"country_code": "US",
"telephone_number": "727-807-9070",
"fax_number": "727-807-5801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHUTTY",
"first_name": "BRANDON",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-11",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "FL",
"license": "OS13979",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "OS13979",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.
- 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.