BRYAN ALAN JOHNSON


Address: 200 S Pettigrew St, Raleigh, NC 27610-2651
Phone: 9193418935

BRYAN ALAN JOHNSON (NPI# 1710199013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710199013
Entity Type Individual
Full Name BRYAN ALAN JOHNSON
Credential LPN
Practice Address 200 S Pettigrew St
Raleigh
NC 27610-2651
Practice Telephone 9193418935
Mailing Telephone 9193418935
Enumeration Date 2007-05-07
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse PR37655 SC Nursing Service Providers

Other Providers BRYAN JOHNSON

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1164869921 Bryan Andrew Johnson Chiropractor 414 Mcmurray Rd, Bethel Park, PA 15102-1132 2013-06-03
1356590855 Bryan Manees Johnson General Practice Hhc 3 82 Gsab, Fort Bragg, NC 28310-0001 2008-09-09
1326167396 Bryan Carl Johnson Dentist 500 Columbia St Ste B, Woodland, WA 98674-8491 2007-03-28
1891859112 Bryan D. Johnson Dentist 516 Main St., Madison Lake, MN 56063 2006-12-21
1740384981 Bryan J Johnson Dentist 4250 Pontiac Lake Rd, Suite B, Waterford, MI 48328-1281 2006-09-08
1770573347 Bryan Johnson Dentist 309 S Main St, Milbank, SD 57252-1810 2005-10-25
1023618501 Bryan Karl Johnson Pharmacist 401 Supercenter Dr, Jefferson City, MO 65101-8190 2020-10-26
1174148308 Bryan Douglas Johnson Physical Therapist 2501 Rice Lake Rd, Duluth, MN 55811-4819 2020-06-12

Office Location

Street Address 200 S PETTIGREW ST
City RALEIGH
State NC
Zip Code 27610-2651

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609499243 Elizabeth Ranganai Mavindidze Social Worker Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 2020-05-18
1851958839 Alex & Associates, P.C. Dentist 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 2019-05-24
1639646367 Carol Mary Medins Dietitian, Registered Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 2018-10-31
1144714601 Walgreen Co Durable Medical Equipment & Medical Supplies 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 2018-06-19
1417446006 Eagles Eye Lab, Inc Clinical Medical Laboratory 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 2018-05-09
1316465206 Jeffery King Neer Social Worker 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 2017-08-31
1083139885 Kelsey Daniel Mccleave Social Worker 3630 Enduring Freedom Drive, Raleigh, NC 27610 2017-08-14
1891219093 Tarheel Residential Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4840 Quarryman Road, Raleigh, NC 27610 2017-07-29
1508214826 Compassionate Care Providers LLC Respite Care 5110 Wetlands, Raleigh, NC 27610 2016-05-26
1730552530 Matthew Belair Pharmacist 1601-51 Cross Link Rd, Raleigh, NC 27610 2015-11-03
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Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720602808 Nancy Parris Licensed Practical Nurse 1640 Hedingham Blvd Ste C, Raleigh, NC 27604-8313 2020-06-03
1962953844 Holly Christy Smith Licensed Practical Nurse 2621 Calliope Way, Apt. 104, Raleigh, NC 27616-5138 2016-10-17
1376097907 Tara Dunsmore Licensed Practical Nurse 2304 Wesvill Ct Ste 310, Raleigh, NC 27607-2973 2016-08-11
1164878823 Latrella Smith Licensed Practical Nurse 109 Farris Ct Apt 105, Raleigh, NC 27610-2466 2016-05-11
1790167286 Tomekia Golson Licensed Practical Nurse 3501 Enduring Freedom Dr, Raleigh, NC 27610-5595 2015-06-22
1841678398 Charity Lundberg Licensed Practical Nurse 5725 Riverford Dr, Raleigh, NC 27616-6075 2015-05-15
1053735522 Shawnda Pool Overton Licensed Practical Nurse 7723 Averette Field Dr, Raleigh, NC 27616-5156 2014-02-04
1831459049 Momolu Hoff Licensed Practical Nurse 4470 Snowcrest Ln, Raleigh, NC 27616-8839 2012-05-22
1598075962 Yolanda Faye Brothers Licensed Practical Nurse 4107 Triana Court, Raleigh, NC 27610-6483 2010-10-19
1730495714 Summer Brogdon Licensed Practical Nurse 2612 Dutch Grove Cir., Raleigh, NC 27610-4391 2010-08-27
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Competitor

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City RALEIGH
Zip Code 27610

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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