Individual provider Active NPI

Candice Lee Brunger, RN, DNP

  • Family Nurse Practitioner
  • Orem, UT
National Provider Identifier
1033434006
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342749-4405 Issued in UT
Practice address
331 N 400 W
Orem, UT 84057-1913
Phone
(801) 714-3300
NPI assigned
Apr 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 342749-3102 UT
Family Nurse Practitioner 363LF0000X 342749-4405 UT Primary

Addresses

Primary practice location

331 N 400 W
Orem, UT 84057-1913

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250327002474 UT Practitioner - Nurse Practitioner 0547783870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beehive Comprehensive Clinic IncGroup PAC ID 8628495801, 5 clinicians

Practice addresses (Care Compare)

3409 W 12600
Suite 230
Riverton, UT 84065-7270
Phone (801) 252-6116

Hospital & facility affiliations

  • Intermountain Health Riverton Hospital Hospital, Riverton, UT, CCN 460058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
342749-3102UTMDRegistered Nurse
342749-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beehive Comprehensive Clinic Inc. CurrentSince Feb 5, 2025 Accepting new patients

Locations

560 W 465 N
Ste 604
Providence, UT 84332
Phone (435) 753-1600

3409 W 12600 S
Ste 230
Riverton, UT 84065
Phone (801) 252-6116

3409 W 12600 S
Riverton, UT 84065
Phone (801) 561-1559

Interoperability endpoints

  • Direct secure messaging: candice.brunger@252938006560772.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1033434006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30180",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841300180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 N 400 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840571913",
            "telephone_number": "801-714-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNGER",
        "first_name": "CANDICE",
        "middle_name": "LEE",
        "credential": "RN, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-02",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "342749-3102",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "342749-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.