Johnson, Brian L
Johnson, Brian L is an individual health care provider with primary practice located at 5630 Lowery Rd , Norfolk VA 23502-2233. He recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Johnson, Brian L can be contacted via phone (757) 455-5009.Contact Information
Primary practice address
5630 Lowery Rd
Norfolk VA 23502-2233
Phone: (757) 455-5009
Fax: (757) 362-3577
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 048364 | Georgia |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 0101042937 | Virginia |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 048364 | Georgia |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 048364 | Georgia |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | 048364 | Georgia |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 048364 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 049364 | Georgia |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 048364 | Georgia |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 0101042937 | Virginia |
Profile Details
| NPI number | 1164495115 |
|---|---|
| LBN Legal business name | Johnson, Brian L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Oct 5th, 2020 - about 4 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 | 1164495115 | NPPES |
| Georgia | MEDICAID | 528051176 |
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