Individual provider Active NPI

Daniel James Johnson, MD

  • Family Medicine Physician
  • Bradenton, FL
National Provider Identifier
1740206549
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME97941 Issued in FL
Practice address
11715 Rangeland Pkwy
Bradenton, FL 34211-9529
Phone
(941) 538-0001
Fax
(941) 538-0002
NPI assigned
Jul 14, 2006
Last updated
Oct 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME97941 FL Primary

Addresses

Primary practice location

11715 Rangeland Pkwy
Bradenton, FL 34211-9529

Mailing address

11715 Rangeland Pkwy
Bradenton, FL 34211-9529
Phone (941) 538-0001

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Daniel.Johnson@img.directbygreenway.com Direct

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080412000110 FL Practitioner - Family Practice 4183701386 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Intercoastal Medical Group IncGroup PAC ID 6305730912, 176 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Coastal Senior Healthcare IncGroup PAC ID 3678840600, 7 clinicians
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians

Practice addresses (Care Compare)

100 Base Ave E
Venice, FL 34285-3809
Phone (941) 412-4748

11505 Rangeland Pkwy
Bradenton, FL 34211-4041
Phone (941) 907-6016

11715 Rangeland Pkwy
Bradenton, FL 34211-9529
Phone (941) 538-0001

1300 59TH St W
Bradenton, FL 34209-4603
Phone (941) 216-1455

1414 69TH Ave W
Bradenton, FL 34207-5850
Phone (941) 867-9500

1725 Manatee Ave W
Bradenton, FL 34205-5924
Phone (941) 746-5226

17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042

2250 Indian Creek Blvd W
Indian River Estates
Vero Beach, FL 32966-1331
Phone (855) 831-9905

2614 43Rd St W
Bradenton, FL 34209-6212
Phone (941) 357-2582

2630 University Pkwy
Sarasota, FL 34243-2406
Phone (941) 541-2101

2800 60TH Ave W
Bradenton, FL 34207-4324
Phone (941) 752-1990

2881 Hyde Park St
Sarasota, FL 34239-3228
Phone (941) 906-7155

3221 Fruitville Rd
Sarasota, FL 34237-6452
Phone (941) 269-2849

3409 26TH St W
Bradenton, FL 34205-3600
Phone (941) 882-0921

3503 14TH St W
Bradenton, FL 34205-6290
Phone (941) 201-6055

3749 Sarasota Square Blvd
Sarasota, FL 34238-4595
Phone (941) 732-1833

3914 E State Rd
Suite 64
Bradenton, FL 34208-9059
Phone (941) 216-3800

4100 University Pkwy
Sarasota, FL 34243-5832
Phone (941) 259-8971

450 67TH St W
Bradenton, FL 34209-2380
Phone (941) 794-5657

5612 26TH St W
Bradenton, FL 34207-3515
Phone (941) 381-8307

5750 Honore Ave
Sarasota, FL 34233-3249
Phone (941) 210-0988

6101 Pointe W Blvd
Bradenton, FL 34209-5534
Phone (941) 795-5533

655 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 224-3850

8220 Natures Way
Lakewood Ranch, FL 34202-4204
Phone (941) 278-4330

8220 Natures Way
Apt 201
Lakewood Ranch, FL 34202-4208
Phone (800) 699-9395

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Florida - Jacksonville II LLC CurrentSince Jun 3, 2025 Accepting new patients
Intercoastal Medical Group Inc Family Medicine CurrentSince Nov 12, 2023 Accepting new patients
Coastal Senior Healthcare Inc CurrentSince Apr 20, 2017 Accepting new patients
Intercoastal Medical Group Inc Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
Prevea Regional Services, Inc. Family Medicine Past Accepting new patients
Manatee Physician Alliance, LLC Family Medicine Past Accepting new patients

Locations

11715 Rangeland Pkwy
Bradenton, FL 34211
Phone (941) 538-0001

3914 E State Road 64
Bradenton, FL 34208
Phone (860) 250-4522

785 S 2nd St
Defuniak Springs, FL 32435
Phone (850) 892-2176

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

8450 Lockwood Ridge Rd
Sarasota, FL 34243
Phone (941) 216-3800

921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390

943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644

2250 Indian Creek Blvd W
Vero Beach, FL 32966
Phone (772) 562-7400

Interoperability endpoints

  • Direct secure messaging: daniel.johnson.1@16119.direct.athenahealth.com
  • Direct secure messaging: daniel.johnson@img.directbygreenway.com
  • FHIR API: https://api.platform.athenahealth.com/16119/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70573

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1740206549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11715 RANGELAND PKWY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119529",
            "telephone_number": "941-538-0001",
            "fax_number": "941-538-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11715 RANGELAND PKWY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119529",
            "telephone_number": "941-538-0001",
            "fax_number": "941-538-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME97941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Daniel.Johnson@img.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11715 Rangeland Pkwy",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342119529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.