Individual
BRANDI M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
206 BUCKINGHAM PL, SUITE 101, BRANDON, FL 33511-4910
(813) 571-2977
(813) 654-9545
Mailing address
15815 SHADDOCK DR STE 130, WINTER GARDEN, FL 34787-5773
(407) 605-2321
(407) 671-4155
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3199
FL
213EP1101X
Primary Podiatric Medicine Podiatrist
PO3199
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO3199
FL
213ES0131X
Foot Surgery Podiatrist
PO3199
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202703
AMERIGROUP
FL
05
—
340534600
—
FL
01
—
65891
BCBS
FL
01
—
P00420517
RAILROAD MEDICARE
FL
01
—
PO3199
LICENSE NO
FL
Enumeration date
11/01/2006
Last updated
04/07/2026
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