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

Bryan Johnson, RD

Individual provider Registered Dietitian · NPI 1306641220

Bryan Johnson, RD is a Registered Dietitian OR Nutrition Professional in Southlake, Texas. Qualified in 2024, 2 years ago. Practices with Doherty Nutrition LLC, a 16-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2025
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

771 E Southlake Blvd Ste 106
Southlake, TX 76092-6354
Phone: (469) 372-2022
Fax: (833) 290-5413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17060 Dallas Pkwy Ste 112, Dallas, TX 75248-1905 — (469) 372-2022

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DT91917 (TX)

Record details

NPI number1306641220
Entity typeIndividual (Type 1)
GenderMale
Credentials RD
Sole proprietorNo
NPI enumeratedFebruary 14, 2025
Last updated in NPPESFebruary 14, 2025
Certification dateFebruary 14, 2025
Mailing address17060 Dallas Pkwy Ste 112, Dallas, TX 75248-1905

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Doherty Nutrition Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Southlake