Johnson, Bryan S

Johnson, Bryan S is an individual health care provider with primary practice located at 2000 S Mays St Ste 201 , Round Rock TX 78664-7580. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Johnson, Bryan S can be contacted via phone (512) 244-4272.

Contact Information

Primary practice address
2000 S Mays St Ste 201 Round Rock TX 78664-7580
Phone: (512) 244-4272
Fax: (512) 244-2895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA04205 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04205 Texas

Profile Details

NPI number 1598732737
LBN Legal business name Johnson, Bryan S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Apr 13th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598732737 NPPES
Texas MEDICAID 200086106

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