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

Bryan R Johnson, PA

Individual provider Medical Physician Assistant · NPI 1992203830

Bryan R Johnson, PA is a Physician Assistant in Gainesville, Florida. Qualified in 2017, 9 years ago. Practices with Doctors Radiology Group of Gainesville LLC, a 33-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6716 NW 11th Pl Ste 200
Gainesville, FL 32605-4201
Phone: (352) 331-9729
Fax: (352) 331-0136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9110858 (FL)

Record details

NPI number1992203830
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 25, 2018
Last updated in NPPESMarch 8, 2022
Certification dateMarch 8, 2022
Mailing address6716 Nw 11th Pl Ste 200, Gainesville, FL 32605-4201

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Doctors Radiology Group Of Gainesville Llc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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