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Active NPI 1710199013 Individual Practitioner Male Practitioner

Bryan Alan Johnson , LPN

Licensed Practical Nurse • Raleigh, NC

Professional Overview & Biography Verified Profile Summary

Bryan Johnson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Raleigh, NC. Practice services are available at 200 S PETTIGREW ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 S Pettigrew St

Raleigh, NC 276102651

Telephone 9193418935

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Raleigh, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
89 Specialists

Practicing in Raleigh, NC (706 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License SC PR37655

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 200 S PETTIGREW ST, RALEIGH, NC 276102651 (Tel: 9193418935)

📍
Updated Business Mailing Address July 08, 2007

Registered at 200 S PETTIGREW ST, RALEIGH, NC 276102651 (Tel: 9193418935)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BRYAN JOHNSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Licensed Practical Nurse (License #PR37655 in SC)

🟢
Initial NPI Registration & Enumeration May 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710199013
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

200 S Pettigrew St

Raleigh, NC 276102651

Phone: 9193418935

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.