Individual provider Active NPI

Brandon Shutty, DO

  • MOHS-Micrographic Surgery Physician
  • Key West, FL
National Provider Identifier
1598020059
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
OS13979 Issued in FL
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

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, OH2 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
I20170731001180 FL Practitioner - Dermatology 0941594915 Reassigns benefits to 3 organizations
I20250616002856 OH Practitioner - Micrographic Dermatologic Surgery (MDS) 0941594915 Reassigns benefits to 1 organization

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
Neuroscience Associates IncGroup PAC ID 6800025131, 10 clinicians
Oakview DermatologyGroup PAC ID 1254408610, 31 clinicians
Dermatology Associates of the Palm Beaches PLLCGroup PAC ID 6709861602, 13 clinicians

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision30
Removal of skin lesions215
Removal of skin cancer178
Skin biopsy125

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience Associates Inc CurrentSince Dec 28, 2025 Accepting new patients
Oakview Dermatology Dermatology CurrentSince May 28, 2025 Accepting new patients
Neuroscience Associates Inc CurrentSince Dec 28, 2025 Accepting new patients
Dermatology Associates of the Palm Beaches PLLC Dermatology CurrentSince Feb 1, 2025 Accepting new patients
Skin and Cancer Associates Dermatology PastSince Jun 30, 2024 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.

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

Verify at the official NPI Registry.