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Active NPI 1306641220 Individual Practitioner Male Practitioner

Bryan Johnson , RD

Dietitian, Registered • Southlake, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Bryan Johnson, RD is a certified Dietitian, Registered practicing in Southlake, TX. With approximately 2 years of clinical experience since completing medical education in 2024, Bryan Johnson delivers high-quality medical care to the local community at 771 E SOUTHLAKE BLVD STE 106.

Bryan Johnson is affiliated with Doherty Nutrition Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

771 E Southlake Blvd Ste 106

Southlake, TX 760926354

Telephone 4693722022
Fax 8332905413
Associated Practice Facility / Clinic
🏢 Doherty Nutrition Llc Facility NPI 1326502832

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Southlake, TX

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -9.4 yrs vs City Avg
City Avg: 11.4 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
17 Specialists

Practicing in Southlake, TX (5148 Statewide)

Telehealth Adoption Rate
11.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (2 Years) 2 Yrs
Southlake Specialty Average (11.4 Years) 11.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-02-14
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License TX DT91917

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Hospital & Practice Group Affiliations

Doherty Nutrition Llc

17060 Dallas Pkwy, Dallas, TX 752481905

Phone: 4693722022

Secondary Practice Locations

17060 Dallas Pkwy Ste 112

Dallas, TX 752481905

Phone: 4693722022

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners
Morgan Baulier , RD

Dietitian, Registered

NPI 1013630763

Registered Dietitian

Remy Luper , RDN

Dietitian, Registered

NPI 1013643196

Registered Dietitian Nutritionist

Leslie Ramirez , RD

Dietitian, Registered

NPI 1023992864

Registered Dietitian

Megan Bolyard , MS, RD, LD

Dietitian, Registered

NPI 1043143647

Master of Science, Registered Dietitian, Licensed Dietitian

Scarlett Chaidez , RD, LD

Dietitian, Registered

NPI 1043838717

Registered Dietitian, Licensed Dietitian

Kelly Minarick , RD, RDN, LDN

Dietitian, Registered

NPI 1073251724

Registered Dietitian, Registered Dietitian Nutritionist, Licensed Dietitian Nutritionist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 14, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location February 14, 2025

Registered at 771 E SOUTHLAKE BLVD STE 106, SOUTHLAKE, TX 760926354 (Tel: 4693722022)

📍
Updated Business Mailing Address February 14, 2025

Registered at 17060 DALLAS PKWY STE 112, DALLAS, TX 752481905 (Tel: 4693722022)

👤
Provider Name / Credentials Updated February 14, 2025

Recorded as BRYAN JOHNSON, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2025

Dietitian, Registered (License #DT91917 in TX)

🟢
Initial NPI Registration & Enumeration February 14, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1306641220
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2025
Last Update: February 14, 2025
Sole Proprietor: No

Mailing Address

17060 Dallas Pkwy Ste 112

Dallas, TX 752481905

Phone: 4693722022

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.