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

Dr. Micheal B. Johnson, DO

Individual provider Diagnostic Radiology Physician · NPI 1205820842

Dr. Micheal B. Johnson, DO is a Diagnostic Radiology in Tampa, Florida. Qualified in 1999, 27 years ago. Practices with Reono Bertagnolli a Medical Group, a 47-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Delaware and Idaho.

Years since qualifying
27
Licensed in
CA, DE, ID
In the registry since
2005
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

7171 N Dale Mabry Hwy
Tampa, FL 33614-2665
Phone: (317) 614-9804
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3650 Piper Street, Ste A, Anchorage, AK 99508 — (907) 339-9455

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence O-0402 (ID)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence C2-0006432 (DE)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 20A9408 (CA)

Record details

NPI number1205820842
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 9, 2005
Last updated in NPPESDecember 28, 2022
Certification dateDecember 28, 2022

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Reono Bertagnolli A Medical Group — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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