Individual
BRIAN T JOHNSON
Active
Individual
BRIAN T JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PL
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME0057286
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002WH
BLUE CROSS/BLUE SHIELD FLORIDA GROUP ID#
FL
01
—
10230
BLUE CROSS/BLUE SHIELD FLORIDA ID#
FL
01
—
2372307
GHI
—
01
—
DC6458
PROV AND GROUP #
—
01
—
DS2914
PROV AND GROUP #
FL
01
—
P00181819
RAILROAD MEDICARE
FL
01
—
P01014397
RAILROAD MEDICARE
FL
Enumeration date
08/30/2005
Last updated
01/15/2013
Update your record
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