BRIAN BRADLEY JOHNSON (MD) – MOHS-Micrographic Surgery Physician, NPI 1033630330

BRIAN BRADLEY JOHNSON (MD) is a healthcare provider. based in Norfolk, Virginia. specializing in MICROGRAPHIC DERMATOLOGIC SURGERY (MDS), DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 0101279110 (VA). The NPI Number for BRIAN BRADLEY JOHNSON (MD) is 1033630330

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN BRADLEY JOHNSON (MD)
NPI
1033630330
Phone
(757) 455-5009
Address
5630 LOWERY RD STE 200
Enumeration Date
28 June 2017
Last Update Date
19 November 2025

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
7573690439
Graduation Year
2017 (9 years ago)
PAC ID
1850626813
Group Practice PAC ID
6608761960
Professional Enrollment ID
I20231019003663
Address ID
VA236024435NE12695BLVD344
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:8State licenses:3Digital endpointsOther names

45 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in VA

Provider Addresses for BRIAN BRADLEY JOHNSON (MD)

  • 5630 LOWERY RD STE 200

    NORFOLK, VA 235022233

    Phone: (757) 455-5009

    Fax: (757) 362-3577

    Type: Location

  • CHILDREN'S HOSPITAL OUTPATIENT CENTER

    14 MEDICAL PARK, STE 400

    COLUMBIA, SC 29203

    Phone: (803) 434-6155

    Fax: (803) 434-6979

    Type: Mailing

  • 105 DESMOND ST

    SAYRE, PA 188402001

    Phone: (757) 667-9566

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 67 Open Payments records for all available years, with a total value of $3,544.

Total Amount is formed as General ($1,633) + Research ($1,911) + Ownership ($0) = $3,544.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: SANOFI US SERVICES INC. ($1,911).

Total Amount

$3,544

General + Research + Ownership

Payments

67

Total payment records

General Amount

$1,633

General payments

Research Amount

$1,911

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230914000423IDermatologyDCTBD
I20231019003663IDermatologyVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,004163$0
99213Established patient office or other outpatient visit, 20-29 minutes321238$0
17000Destruction of precancer skin growth, 1 growth250195$0
99214Established patient office or other outpatient visit, 30-39 minutes173125$0
11102Biopsy of related skin growth, first growth116103$0
View full utilization report →

Insurance plans in this area (ZIP 23502)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608761960View full group profile

Reviews

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Frequently asked questions

Is BRIAN BRADLEY JOHNSON (MD) listed with a National Provider Identifier?
Yes — BRIAN BRADLEY JOHNSON (MD) has NPI 1033630330 on file in the registry.
Is BRIAN BRADLEY JOHNSON (MD) still an active registrant?
BRIAN BRADLEY JOHNSON (MD) carries an active NPI according to the public dataset.
What expertise is attributed to BRIAN BRADLEY JOHNSON (MD)?
BRIAN BRADLEY JOHNSON (MD)'s specialty line reads MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRIAN BRADLEY JOHNSON (MD)?
Travel planning: use Norfolk, Virginia as the reference point for BRIAN BRADLEY JOHNSON (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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