Bryan Johnson, RD
NPI 1306641220ActiveIndividual· Dietitian, Registered· Southlake, TX
Dietitian, Registered (RD) with Doherty Nutrition LLC, practicing in Southlake, Texas. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1306641220 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD |
| Sole proprietor | No |
| NPI issued | Feb 14, 2025 |
| Last updated in NPPES | Feb 14, 2025 |
| Certified by provider | Feb 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | DT91917 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (TX) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
| Telehealth | Offers telehealth |
Medical group
- Doherty Nutrition LLCDallas, TX · 15 clinicians
Other registered dietitians in Southlake
- 1649569336
- 1386413789
- 1659190130
- 1740502905
- 1740568674
- 1477408573
- 1245510247
- 1073827994
- 1447131800
- 1760310387
- 1023916194
- 1841954088
All 19 registered dietitians in Southlake · All registered dietitians in Texas