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Individual

BRIAN BRADLEY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5630 LOWERY RD STE 200, NORFOLK, VA 23502-2233
(757) 455-5009
(757) 362-3577
Mailing address
5630 LOWERY RD STE 200, NORFOLK, VA 23502-2233
(757) 455-5009

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0101279110
VA
207N00000X
Dermatology Physician
295178
NY
207N00000X
Dermatology Physician
MD478832
PA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
0101279110
VA

Other

Enumeration date
06/28/2017
Last updated
11/19/2025
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