Active NPI
Candice L Bruce, NP
- Women's Health Nurse Practitioner
- Angleton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 1096125
- Practice address
- 1108 E Mulberry St Ste a
Angleton, TX 77515-3955 - Phone
- (409) 266-1888
- Fax
- (979) 849-1094
- NPI assigned
- Jan 21, 2011
- Last updated
- Apr 25, 2024
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1096125 | TX | |
| Women's Health Nurse Practitioner | 363LW0102X | 1096125 | TX | Primary |
Addresses
Primary practice location
1108 E Mulberry St Ste a
Angleton, TX 77515-3955
Mailing address
1612 Callaway Dr
Alvin, TX 77511-3743
Phone (281) 824-1480
Other practice location 1
1111 W Adoue St
Alvin, TX 77511-2718
Phone (281) 824-1480
Other practice location 2
9430 Broadway St Ste 120
Pearland, TX 77584-8075
Phone (281) 824-1480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Vanderbilt University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1108 E Mulberry St
Suite a
Angleton, TX 77515-3955
Phone (979) 849-0692
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1096125 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dominion Health Medical Associates LTD | Current | Accepting new patients | |
| Dominion Health Medical Assoc. | Current | Accepting new patients | |
| Dominion Health Medical Assoc | Current | Accepting new patients | |
| Stephen F. Austin Community Health Center, Inc. | Current | Accepting new patients | |
| Utmb Faculty Group Practice | Current | Accepting new patients | |
| Stephen F Austin Community Health Center,Inc | Current | Accepting new patients | |
| University of Texas Medical Branch at Galveston | Past | Accepting new patients |
Locations
1111 W Adoue St
Alvin, TX 77511
Phone 2818241480 ext. 1594
1612 Callaway Dr
Alvin, TX 77511
2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530
1108 E Mulberry St
Ste A
Angleton, TX 77515
Phone (979) 849-0692
195 N 11th St
Beaumont, TX 77702
Phone (409) 838-0045
701 E Davis St
Ste A
Conroe, TX 77301
Phone (936) 525-2800
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001
9430 Broadway St
Ste 120
Pearland, TX 77584
Phone (713) 442-7400
9300 Emmett F Lowry Expy
Ste 138
Texas City, TX 77591
Phone (409) 486-9686
946 N Main St
Chase City, VA 23924
Phone (434) 372-5141
101 Aubreys Loop
South Boston, VA 24592
Phone (434) 517-3788
2232 Wilborn Ave
Ste F
South Boston, VA 24592
Phone (434) 517-8095
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
-
dba Adoue Family Health Center
- Federally Qualified Health Center (FQHC)
- Alvin, TX
- NPI 1578730818
-
dba Sentora Halifax General Surgery
- Ambulatory Surgical Clinic/Center
- South Boston, VA
- NPI 1255771770
-
dba Bacliff Community Health Network
- Federally Qualified Health Center (FQHC)
- Bacliff, TX
- NPI 1962986562
-
dba Sentara Cardiology Specialists
- Cardiovascular Disease Physician
- South Boston, VA
- NPI 1356138879
-
dba Sentara Behavioral Health Specialists
- Community/Behavioral Health Agency
- South Boston, VA
- NPI 1215411483
-
- Community/Retail Pharmacy
- Friendswood, TX
- NPI 1699532861
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Texas Medical Branch
- General Acute Care Hospital
- Galveston, TX
- NPI 1548226988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1598060592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 CALLAWAY DR",
"city": "ALVIN",
"state": "TX",
"postal_code": "775113743",
"telephone_number": "281-824-1480",
"fax_number": "281-220-6407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 E MULBERRY ST STE A",
"city": "ANGLETON",
"state": "TX",
"postal_code": "775153955",
"telephone_number": "409-266-1888",
"fax_number": "979-849-1094"
}
],
"practiceLocations": [
{
"address_1": "1111 W Adoue St",
"address_purpose": "LOCATION",
"city": "Alvin",
"state": "TX",
"postal_code": "775112718",
"country_code": "US",
"telephone_number": "281-824-1480",
"fax_number": "281-220-6407",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9430 Broadway St Ste 120",
"address_purpose": "LOCATION",
"city": "Pearland",
"state": "TX",
"postal_code": "775848075",
"country_code": "US",
"telephone_number": "281-824-1480",
"fax_number": "281-220-6407",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUCE",
"first_name": "CANDICE",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-21",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1096125",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "1096125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Angleton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.