Individual provider Active NPI

Bryan Alexander Stepanenko, MD, MPH, FAAFP

  • Family Medicine Physician
  • Whispering Pines, NC
National Provider Identifier
1598147118
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME129873 Issued in FL
Practice address
518 Goldenleaf Cir
Whispering Pines, NC 28327-0137
Phone
(910) 315-0774
Fax
(754) 220-7975
NPI assigned
Jun 19, 2015
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 94574 GA
Family Medicine Physician 207Q00000X C183277 CA
Family Medicine Physician 207Q00000X 2022-02592 NC
Family Medicine Physician 207Q00000X ME129873 FL Primary
Family Medicine Physician 207Q00000X 0101277921 VA

Addresses

Primary practice location

518 Goldenleaf Cir
Whispering Pines, NC 28327-0137

Mailing address

518 Goldenleaf Cir
Whispering Pines, NC 28327-0137
Phone (910) 315-0774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, VA, CA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20250804000316 FL Practitioner - Family Practice 5496014029 Reassigns benefits to 1 organization
I20251121002746 NC Practitioner - Family Practice 5496014029 Reassigns benefits to 4 organizations
I20260515003044 VA Practitioner - Family Practice 5496014029 Reassigns benefits to 1 organization
I20260526000943 CA Practitioner - Family Practice 5496014029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tapestry Telehealth PLLCGroup PAC ID 4789942335, 80 clinicians
Sandhills Functional Medicine PLLCGroup PAC ID 3971951963, 2 clinicians

Practice addresses (Care Compare)

111 N Orange Ave
Suite 800
Orlando, FL 32801-2381
Phone (203) 666-8145

334 Mill Creek Rd
Suite B
Carthage, NC 28327-6525
Phone (910) 773-3889

3900 Westerre Pkwy
Suite 300
Richmond, VA 23233-1339
Phone (203) 666-8145

555 S Mangum St
Suite 100
Durham, NC 27701-4689
Phone (203) 666-8145

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C183277CAMDFamily Medicine Physician
94574GAMDFamily Medicine Physician
2022-02592NCMDFamily Medicine Physician
0101277921VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sandhills Functional Medicine PLLC Family Medicine CurrentSince Nov 1, 2025 Accepting new patients
Psgfl MSSP, LLC PastSince Jul 28, 2025 Accepting new patients

Locations

334 Mill Creek Rd
Ste B
Carthage, NC 28327
Phone (910) 621-7410

Interoperability endpoints

  • Direct secure messaging: bryan.stepanenko@861658371063812.direct.elationemr.com

Organizations & group practices 6

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 2

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": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1598147118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 GOLDENLEAF CIR",
            "city": "WHISPERING PINES",
            "state": "NC",
            "postal_code": "283270137",
            "telephone_number": "910-315-0774",
            "fax_number": "754-220-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 GOLDENLEAF CIR",
            "city": "WHISPERING PINES",
            "state": "NC",
            "postal_code": "283270137",
            "telephone_number": "910-315-0774",
            "fax_number": "754-220-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPANENKO",
        "first_name": "BRYAN",
        "middle_name": "ALEXANDER",
        "credential": "MD, MPH, FAAFP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-19",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "94574",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C183277",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2022-02592",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME129873",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101277921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whispering Pines, NC

Sources for this page

Verify at the official NPI Registry.