Individual provider Active NPI

Joshua Matthew Brady, MD

  • Dermatology Physician
  • Tampa, FL
National Provider Identifier
1982280400
Registry record updated Sep 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
172044 Issued in FL
Practice address
2301 W Dr Martin Luther King Jr Blvd Ste 100
Tampa, FL 33607-6405
Phone
(813) 771-5500
Fax
(813) 550-0123
NPI assigned
Mar 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 172044 FL Primary

Addresses

Primary practice location

2301 W Dr Martin Luther King Jr Blvd Ste 100
Tampa, FL 33607-6405

Mailing address

2301 W Dr Martin Luther King Jr Blvd Ste 100
Tampa, FL 33607-6405

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
I20250603002126 FL Practitioner - Dermatology 2769863851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Wayne State University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Dermatology, LLCGroup PAC ID 6002031531, 48 clinicians

Practice addresses (Care Compare)

2301 W MLK Blvd
Tampa, FL 33607-6405
Phone (813) 771-5500

350 S Indiana Ave
Englewood, FL 34223-3715
Phone (941) 474-8811

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions75
Removal or shaving of skin growth1-10
Skin biopsy21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
172044FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Dermatology, LLC Dermatology CurrentSince Jul 1, 2025 Accepting new patients

Locations

350 S Indiana Ave
Englewood, FL 34223
Phone (941) 474-8811

5600 Bee Ridge Rd
Ste C
Sarasota, FL 34233

2301 W Mlk Blvd
Ste 101
Tampa, FL 33607

2301 W Mlk Blvd
Tampa, FL 33607
Phone (615) 320-4214

Organizations & group practices 1

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": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757721600000",
    "number": "1982280400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 W DR MARTIN LUTHER KING JR BLVD STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W DR MARTIN LUTHER KING JR BLVD STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076405",
            "telephone_number": "813-771-5500",
            "fax_number": "813-550-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "JOSHUA",
        "middle_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-23",
        "last_updated": "2025-09-13",
        "certification_date": "2025-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "172044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.