Active NPI
Candace Victoria Bryan, M.D.
- Neurology Physician
- Fairfax, VA
National Provider Identifier
1376750133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 010124056
- Practice address
- 3020 Hamaker CT
Suite #400
Fairfax, VA 22031-2238 - Phone
- (703) 876-0800
- Fax
- (703) 876-0866
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | 0101242056 | VA | |
| Neurology Physician | 2084N0400X | 010124056 | VA | Primary |
Addresses
Primary practice location
3020 Hamaker CT
Suite #400
Fairfax, VA 22031-2238
Mailing address
3020 Hamaker CT
Suite #400
Fairfax, VA 22031-2238
Phone (703) 876-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376750133 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clinical@ncf.directbygreenway.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Pittsburgh School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3020 Hamaker CT
Suite 400
Fairfax, VA 22031-2220
Phone 70387608001208
Hospital & facility affiliations
- Five Star Home Health Care
- Virginia Hospital Center
- Inova Fairfax Hospital
- Inova Alexandria Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101242056 | VA | MD | Behavioral Neurology & Neuropsychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Center of Fairfax, LTD | Neurology | Current | Accepting new patients |
Locations
3020 Hamaker Ct
Ste 400
Fairfax, VA 22031
Phone (703) 864-0800
3020 Hamaker Ct
Fairfax, VA 22031
Phone (703) 207-0073
Interoperability endpoints
- clinical@ncf.directbygreenway.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 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Chantilly, VA
- NPI 1619118528
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
- General Acute Care Hospital
- Arlington, VA
- NPI 1790785996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1376750133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 HAMAKER CT",
"address_2": "SUITE #400",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312238",
"telephone_number": "703-876-0800",
"fax_number": "703-876-0866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 HAMAKER CT",
"address_2": "SUITE #400",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312238",
"telephone_number": "703-876-0800",
"fax_number": "703-876-0866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "CANDACE",
"middle_name": "VICTORIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084B0040X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": "VA",
"license": "0101242056",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "010124056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376750133",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clinical@ncf.directbygreenway.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3020 Hamaker Ct",
"address_2": "Suite #400",
"city": "Fairfax",
"state": "VA",
"country_code": "US",
"postal_code": "220312238",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.