NPI 1003010596

Bradley Tyler Johnson, MD

Practitioner Otolaryngology Physician Winter Park, FL

Practice location

Address: 133 Benmore Dr STE 100, Winter Park, FL 32792-4111
Phone: (407) 644-4883
Fax: (407) 644-3697

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence ME132490 (FL)

Other Otolaryngology providers in Florida →

Registry record

NPI: 1003010596
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jun 2007
Record last updated: 27 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.