Individual provider Active NPI

Brandi M Johnson, DPM

  • Podiatrist
  • Brandon, FL
National Provider Identifier
1639257207
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3199 Issued in FL
Practice address
206 Buckingham PL
Suite 101
Brandon, FL 33511-4910
Phone
(813) 571-2977
Fax
(813) 654-9545
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3199 FL
Podiatrist 213E00000X PO3199 FL Primary

Addresses

Primary practice location

206 Buckingham PL
Suite 101
Brandon, FL 33511-4910

Mailing address

15815 Shaddock Dr Ste 130
Winter Garden, FL 34787-5773
Phone (407) 605-2321

Other identifiers 5

IdentifierTypeStateIssuer
202703OtherFLAMERIGROUP
65891OtherFLBCBS
PO3199OtherFLLICENSE NO
340534600MedicaidFL
P00420517OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050620000734 FL Practitioner - Podiatry 5890730980 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Podiatry Group Inc.Group PAC ID 0042252140, 42 clinicians
Mark G Leitner DPM PAGroup PAC ID 8729184817, 2 clinicians

Practice addresses (Care Compare)

206 Buckingham PL
Suite 101
Brandon, FL 33511-4910
Phone (844) 663-3769

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Tampa, FL, CCN 103145
  • Pinnacle Home Care Home health agency, Tampa, FL, CCN 683149
  • HCA Florida Brandon Hospital Hospital, Brandon, FL, CCN 100243
  • HCA Florida South Tampa Hospital Hospital, Tampa, FL, CCN 100206

Merit-based Incentive Payment System (MIPS)

Final score
85.62 of 100Reported as individual
Quality
71.32
Promoting interoperability
88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue162
Removal of skin lesions17
Removal of nail tissue304
Removal or shaving of skin growth118
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mark G Leitner DPM PA Podiatrist CurrentSince Nov 1, 2006 Accepting new patients

Locations

206 Buckingham Pl
Ste 101
Brandon, FL 33511
Phone (813) 571-2977

3638 Lithia Pinecrest Rd
Valrico, FL 33596
Phone (813) 657-9669

Interoperability endpoints

  • Direct secure messaging: brandi.johnson.1@29395.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1639257207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15815 SHADDOCK DR STE 130",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875773",
            "telephone_number": "407-605-2321",
            "fax_number": "407-671-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BUCKINGHAM PL",
            "address_2": "SUITE 101",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114910",
            "telephone_number": "813-571-2977",
            "fax_number": "813-654-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRANDI",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3199",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "202703",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65891",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO",
            "identifier": "PO3199",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340534600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00420517",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.