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BRYAN JOHNSON RD
NPI 1306641220
Dietitian, Registered in Southlake, TX

Active since February 14, 2025Accepts Medicare Assignment
771 E SOUTHLAKE BLVD STE 106, SOUTHLAKE, TX 76092(469) 372-2022(833) 290-5413 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Bryan Johnson Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYAN JOHNSON RD (NPI 1306641220) is an individual dietitian, registered in Southlake, Texas, licensed in Texas (DT91917) and active in the NPI registry since February 2025. He maintains a secondary practice location in Dallas and is a graduate of Other (2024).

NPPES Registry Identity

NPI1306641220
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameBRYAN JOHNSONCredential: RD
Location Address771 E SOUTHLAKE BLVD STE 106Southlake, TX 76092-6354
Mailing Address17060 Dallas Pkwy Ste 112Dallas, TX 75248-1905 · (469) 372-2022 · Fax (833) 290-5413
Phone(469) 372-2022
Fax(833) 290-5413
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 14, 2025
NPPES CertifiedFebruary 14, 2025
✔ NPI 1306641220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in TX · DT91917
Definition
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.
771 E SOUTHLAKE BLVD STE 106, Southlake, TX 76092
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Secondary Practice Location 1

Location 117060 Dallas Pkwy Ste 112Dallas, TX 75248-1905 · Phone (469) 372-2022 · Fax (833) 290-5413

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bryan Johnson Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416472139
PECOS Enrollment IDI20250415003572

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.47 – $171.07
Typical copayment $0.00 (range $14.11 – $42.76)
Most-billed visit code NA
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNE-MARIE ALFORD RD
Dietitian, Registered
771 E SOUTHLAKE BLVD STE 106
SOUTHLAKE, TX 76092
Tarrant County (469) 372-2022
KRISTEN DANIELLE RAMOS RD
Dietitian, Registered
771 E SOUTHLAKE BLVD STE 106
SOUTHLAKE, TX 76092
Tarrant County (469) 372-2022

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Johnson's NPI number?

The NPI number for Bryan Johnson is 1306641220. It was assigned to this individual provider in the NPPES registry on February 14, 2025.

Where is Bryan Johnson located?

Bryan Johnson practices at 771 E Southlake Blvd Ste 106, Southlake, TX 76092. The listed phone number is (469) 372-2022.

What is Bryan Johnson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Bryan Johnson enrolled in Medicare?

Yes. Bryan Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bryan Johnson accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Bryan Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bryan Johnson was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.