Brian Bradley Johnson, MD | |
5630 Lowery Rd Ste 200, Norfolk, VA 23502-2233 | |
(757) 455-5009 | |
(757) 362-3577 |
Full Name | Brian Bradley Johnson |
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Gender | Male |
Speciality | Dermatology |
Location | 5630 Lowery Rd Ste 200, Norfolk, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033630330 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 295178 (New York) | Secondary |
207N00000X | Dermatology | MD478832 (Pennsylvania) | Secondary |
207N00000X | Dermatology | 0101279110 (Virginia) | Primary |
Entity Name | Guthrie Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962451153 PECOS PAC ID: 6002728656 Enrollment ID: O20040301000571 |
Mailing Address | Practice Location Address |
---|---|
Brian Bradley Johnson, MD 5630 Lowery Rd Ste 200, Norfolk, VA 23502-2233 Ph: (757) 455-5009 | Brian Bradley Johnson, MD 5630 Lowery Rd Ste 200, Norfolk, VA 23502-2233 Ph: (757) 455-5009 |
Dr. Antoinette Foote Hood, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 721 Fairfax Ave, Suite 200, Norfolk, VA 23507 Phone: 757-446-5629 Fax: 757-446-6000 | |
Molly K Smith, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6160 Kempsville Cir Ste 200a, Norfolk, VA 23502 Phone: 757-622-6315 Fax: 757-622-7022 | |
Dr. Mark W Jenison, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 850 Kempsville Rd, Norfolk, VA 23502 Phone: 757-466-5733 Fax: 757-466-5623 | |
Dr. Brian L Johnson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5630 Lowery Rd, Norfolk, VA 23502 Phone: 757-455-5009 Fax: 757-362-3577 | |
Ruaa Jasim, MD Dermatology Medicare: Medicare Enrolled Practice Location: 721 Fairfax Ave Ste 200, Norfolk, VA 23507 Phone: 757-446-5629 Fax: 757-446-6000 | |
Katherine Gresham Belote, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6160 Kempsville Cir Ste 200a, Norfolk, VA 23502 Phone: 757-622-6315 Fax: 757-622-7022 |