Individual provider Active NPI

Candice L Bruce, NP

  • Women's Health Nurse Practitioner
  • Angleton, TX
National Provider Identifier
1598060592
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1096125 Issued in TX
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150316001126 VA Practitioner - Nurse Practitioner 7911187273 Reassigns benefits to 1 organization
I20231128000447 TX Practitioner - Nurse Practitioner 7911187273 Reassigns benefits to 2 organizations

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
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

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

LicenseStateTypeSpecialty
1096125TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dominion Health Medical Associates LTD CurrentSince Jan 26, 2015 Accepting new patients
Dominion Health Medical Assoc. Current Accepting new patients
Dominion Health Medical Assoc CurrentSince Jan 26, 2015 Accepting new patients
Stephen F. Austin Community Health Center, Inc. CurrentSince Oct 16, 2023 Accepting new patients
Utmb Faculty Group Practice CurrentSince May 1, 2024 Accepting new patients
Stephen F Austin Community Health Center,Inc CurrentSince Oct 16, 2023 Accepting new patients
University of Texas Medical Branch at Galveston PastSince May 1, 2024 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.

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": "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

Verify at the official NPI Registry.