Individual provider Active NPI

Candice Jones Bryan, FNP

  • Family Nurse Practitioner
  • Bladenboro, NC
National Provider Identifier
1699364331
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5014401 Issued in NC
Practice address
12848 NC 131 Hwy
Bladenboro, NC 28320-9088
Phone
(910) 874-2513
NPI assigned
Jan 17, 2021
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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 F12200628 NC
Family Nurse Practitioner 363LF0000X 5014401 NC Primary

Addresses

Primary practice location

12848 NC 131 Hwy
Bladenboro, NC 28320-9088

Mailing address

12848 NC 131 Hwy
Bladenboro, NC 28320-9088
Phone (910) 874-2513

Other practice location 1

6387 Ramsey St Unit 100
Fayetteville, NC 28311-9442
Phone (910) 615-3879

Other practice location 2

150 Robeson St
Fayetteville, NC 28301-5570
Phone (910) 615-1059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210521001460 NC Practitioner - Nurse Practitioner 8426457524 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1414 Physicians Dr
Wilmington, NC 28401-7335
Phone (910) 796-7900

150 Robeson St
Fayetteville, NC 28301-5570
Phone (910) 615-1059

6387 Ramsey St
Fayetteville, NC 28311-9442

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5014401NCMDFamily Nurse Practitioner
F12200628NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc CurrentSince Nov 23, 2021 Accepting new patients
CFV Express Care Billing Services LLC CurrentSince Nov 23, 2021 Accepting new patients
Lower Cape Fear Hospice Incorporated CurrentSince Jun 16, 2024 Accepting new patients
Lower Cape Fear Hospice, Incorporated CurrentSince Jun 16, 2024 Accepting new patients
Carolina Quickcare Family Practice, PLLC CurrentSince Mar 17, 2023 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Nov 23, 2021 Accepting new patients
Lower Cape Fear Hospice Incorporated Past Accepting new patients

Locations

2265 NC Highway 24 27 E
Biscoe, NC 27209
Phone (919) 810-0054

150 Robeson St
Fayetteville, NC 28301
Phone (910) 609-1000

6387 Ramsey St
Unit 100
Fayetteville, NC 28311
Phone (910) 615-3879

206 Warrior Trl
Whiteville, NC 28472
Phone (910) 599-8113

1414 Physicians Dr
Wilmington, NC 28401
Phone (910) 796-7900

Interoperability endpoints

  • Direct secure messaging: cbryan77117@capefearvalley.direct-ci.com

Organizations & group practices 9

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 3

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": "1610841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1699364331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12848 NC 131 HWY",
            "city": "BLADENBORO",
            "state": "NC",
            "postal_code": "283209088",
            "telephone_number": "910-874-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12848 NC 131 HWY",
            "city": "BLADENBORO",
            "state": "NC",
            "postal_code": "283209088",
            "telephone_number": "910-874-2513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6387 Ramsey St Unit 100",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283119442",
            "country_code": "US",
            "telephone_number": "910-615-3879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Robeson St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283015570",
            "country_code": "US",
            "telephone_number": "910-615-1059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "CANDICE",
        "middle_name": "JONES",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-17",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F12200628",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bladenboro, NC

Sources for this page

Verify at the official NPI Registry.