Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Bradley Tyler Johnson, MD

Individual provider Otolaryngology Physician · NPI 1003010596

Dr. Bradley Tyler Johnson, MD is an Otolaryngology in Winter Park, Florida. Graduated from University of Texas Medical School at San Antonio in 2007, 19 years ago. Practices with Halifax Healthcare Systems Inc, a 339-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
19
Trained at
University of Texas Medical School at San Antonio
Licensed in
FL
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

133 Benmore Dr Ste 100
Winter Park, FL 32792-4111
Phone: (407) 644-4883
Fax: (407) 644-3697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence ME132490 (FL)

Record details

NPI number1003010596
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2007
Last updated in NPPESDecember 27, 2021
Certification dateDecember 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 2007 (19 years in practice)
Group practice Halifax Healthcare Systems Inc — 339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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