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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

BRADLEY T JOHNSON, MD
133 BENMORE DR STE 100
WINTER PARK, FL32792-4111
 Medical school:
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 2007

 Phone: 407-644-4883
 Fax: 407-644-3697
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for BRADLEY T JOHNSON · (Male)

NPI # 1003010596
Status Active
Credentials MD
Entity Individual
Enumeration date 06/11/2007
Last updated 12/20/2017 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # ME132490
  • FL Medicaid 022744400
Hospital affiliation(s)
  • FLORIDA HOSPITAL - (Acute Care)
    601 E ROLLINS ST
    ORLANDO, FL 32803
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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