Johnson, Brandi M
Johnson, Brandi M is an individual health care provider with primary practice located at 206 Buckingham Pl Suite 101, Brandon FL 33511-4910. She recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Johnson, Brandi M can be contacted via phone (813) 571-2977.Contact Information
Primary practice address
206 Buckingham Pl Suite 101
Brandon FL 33511-4910
Phone: (813) 571-2977
Fax: (813) 654-9545
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO3199 | Florida |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO3199 | Florida |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | PO3199 | Florida |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | PO3199 | Florida |
Profile Details
| NPI number | 1639257207 |
|---|---|
| LBN Legal business name | Johnson, Brandi M |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Feb 16th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639257207 | NPPES |
| Florida | Other | 202703 | AMERIGROUP |
| Florida | Other | 65891 | AMERIGROUP |
| Florida | Other | PO3199 | AMERIGROUP |
| Florida | MEDICAID | 340534600 | AMERIGROUP |
| Florida | Other | P00420517 | AMERIGROUP |
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