Bradley Johnson (NPI# 1003010596, PAC ID# 7113151127) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1003010596 |
| PAC ID by PECOS | 7113151127 |
| Professional Enrollment ID | I20171027001633 |
| Full Name | Bradley Johnson |
| Organization Legal Name | THE EAR NOSE AND THROAT SURGICAL ASSOCIATES PA |
| Address |
133 Benmore Dr Winter Park FL 32792-4111 |
| Phone Number | 4076444883 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 2007 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 2466437926 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100007 | FLORIDA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 44 W Michigan St, Orlando, FL 32806-4453 | 3214224921 | THE EAR NOSE AND THROAT SURGICAL ASSOCIATES PA |
| 133 Benmore Dr, Winter Park, FL 32792-4111 | 4076444883 | THE EAR NOSE AND THROAT SURGICAL ASSOCIATES PA |
| Organization Legal Name | THE EAR NOSE AND THROAT SURGICAL ASSOCIATES PA |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey S Fichera | Physician Assistant | The Ear Nose and Throat Surgical Associates Pa | 107 The Hermits Trail, Altamonte Sprgs, FL 32701-3619 |
| Bari H Ruddy | Speech Language Pathologist | The Ear Nose and Throat Surgical Associates Pa | 44 W Michigan St, Orlando, FL 32806-4453 |
| Megan Kuester | Audiologist | The Ear Nose and Throat Surgical Associates Pa | 107 The Hermits Trl, Altamonte Springs, FL 32701-3619 |
| Blair Lane Handy | Qualified Audiologist | The Ear Nose and Throat Surgical Associates Pa | 133 Benmore Dr, Winter Park, FL 32792-4111 |
| Aftab H Patni | Otolaryngology | The Ear Nose and Throat Surgical Associates Pa | 133 Benmore Dr, Winter Park, FL 32792-4111 |
| Brian Spector | Otolaryngology | The Ear Nose and Throat Surgical Associates Pa | 133 Benmore Dr, Winter Park, FL 32792-4111 |
| Leigh Karlberg | Qualified Audiologist | The Ear Nose and Throat Surgical Associates Pa | 133 Benmore Dr, Winter Park, FL 32792-4111 |
| Lori C Klingenberg | Qualified Audiologist | The Ear Nose and Throat Surgical Associates Pa | 133 Benmore Dr, Winter Park, FL 32792-4111 |
| Jennifer Pamela Rodney | Otolaryngology | The Ear Nose and Throat Surgical Associates Pa | 133 Benmore Dr, Winter Park, FL 32792-4111 |
| Hao Nhu Tran | Otolaryngology | The Ear Nose and Throat Surgical Associates Pa | 133 Benmore Dr, Winter Park, FL 32792-4111 |
| Street Address |
133 BENMORE DR |
| City | WINTER PARK |
| State | FL |
| Zip | 32792-4111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blair Lane Handy | Qualified Audiologist | The Ear Nose and Throat Surgical Associates Pa | 133 Benmore Dr, Winter Park, FL 32792-4111 |
| Aftab H Patni | Otolaryngology | The Ear Nose and Throat Surgical Associates Pa | 133 Benmore Dr, Winter Park, FL 32792-4111 |
| Peter John Weiss | Geriatric Medicine | Florida Hospital Medical Group Inc | 133 Benmore Dr, Suite 200, Winter Park, FL 32792-4111 |
| Brian Spector | Otolaryngology | The Ear Nose and Throat Surgical Associates Pa | 133 Benmore Dr, Winter Park, FL 32792-4111 |
| Leigh Karlberg | Qualified Audiologist | The Ear Nose and Throat Surgical Associates Pa | 133 Benmore Dr, Winter Park, FL 32792-4111 |
| Lori C Klingenberg | Qualified Audiologist | The Ear Nose and Throat Surgical Associates Pa | 133 Benmore Dr, Winter Park, FL 32792-4111 |
| Jennifer Pamela Rodney | Otolaryngology | The Ear Nose and Throat Surgical Associates Pa | 133 Benmore Dr, Winter Park, FL 32792-4111 |
| Hao Nhu Tran | Otolaryngology | The Ear Nose and Throat Surgical Associates Pa | 133 Benmore Dr, Winter Park, FL 32792-4111 |
| Fay Lee Roepcke | Family Medicine | Florida Hospital Medical Group Inc | 133 Benmore Dr, Suite 200, Winter Park, FL 32792-4111 |
| Bibi Farida Hussain | Physician Assistant | The Ear Nose and Throat Surgical Associates Pa | 133 Benmore Dr, Winter Park, FL 32792-4111 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morgan Barr | Obstetrics/gynecology | Womens Care Florida LLC | 10 N Edinburgh Dr, 200 Tampa Bay Womens Care, Winter Park, FL 32792 |
| Yelena A Atlanova | Obstetrics/gynecology | Womens Care Florida LLC | 10 N Edinburgh Dr, 200 Tampa Bay Womens Care, Winter Park, FL 32792 |
| Allison N Hioki | Physical Therapy | Physiotherapy Works, LLC | 1860 State Rd, 436 Suite 1000, Winter Park, FL 32792 |
| James N Hartland | Physical Therapy | Physiotherapy Works, LLC | 1860 State Rd, 436 Suite 1000, Winter Park, FL 32792 |
| Robyn L Zuromski | Physical Therapy | Physiotherapy Works, LLC | 1860 State Rd, Winter Park, FL 32792 |
| Mary Liebermann | Clinical Social Worker | 1908 Howell Branch Rd, Winter Park, FL 32792-1009 | |
| Sandra Harrington Barker | Optometry | Eye Associates of Winter Park | 1928 Howell Branch Rd, Winter Park, FL 32792-1013 |
| Gary Barker | Optometry | Eye Associates of Winter Park | 1928 Howell Branch Rd, Winter Park, FL 32792-1013 |
| Kaitlyn Kelley | Optometry | Eye Associates of Winter Park | 1928 Howell Branch Rd, Winter Park, FL 32792-1013 |
| Alaina Michelle Medvetz | Optometry | Eye Associates of Winter Park | 1928 Howell Branch Rd, Winter Park, FL 32792-1013 |
| Find all physicians in zip 32792 | |||
| City | WINTER PARK |
| Zip Code | 32792 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | WINTER PARK + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Bradley Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.