Individual provider Active NPI

Heather Bryan, NP

  • Family Nurse Practitioner
  • Lumberton, NC
National Provider Identifier
1902512395
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5017552 Issued in NC
Practice address
300 W 27TH St
Lumberton, NC 28358-3075
Phone
(910) 671-5000
NPI assigned
Jan 30, 2023
Last updated
Jul 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5017552 NC
Family Nurse Practitioner 363LF0000X 5017552 NC Primary

Addresses

Primary practice location

300 W 27TH St
Lumberton, NC 28358-3075

Mailing address

6809 Torrance LN
Fayetteville, NC 28314-5640
Phone (704) 213-3215

Other practice location 1

217 Glensford Dr
Fayetteville, NC 28314-0892
Phone (910) 483-4647

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
I20230406001670 NC Practitioner - Nurse Practitioner 4486029394 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matrix Occupational Health PCGroup PAC ID 2365350220, 42 clinicians
Fastmed PCGroup PAC ID 9830540558, 174 clinicians

Practice addresses (Care Compare)

1110 Kildaire Farm Rd
Cary, NC 27511-4523
Phone (919) 481-0277

150 Francam Dr
Suite 120
Fayetteville, NC 28311-4500
Phone (910) 487-1100

217 Glensford Dr
Fayetteville, NC 28314-0892
Phone (910) 483-4647

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
85.58
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Occupational Health P.C. CurrentSince Jun 18, 2024 Accepting new patients
Fastmed Urgent Care PC CurrentSince Dec 1, 2025 Accepting new patients
Fastmed P.C. CurrentSince Dec 1, 2025 Accepting new patients
Robeson Emergency Physicians, PLLC CurrentSince Feb 15, 2023 Accepting new patients
Fastmed Primary Care, P.C. CurrentSince Dec 1, 2025 Accepting new patients

Locations

1110 Kildaire Farm Rd
Cary, NC 27511
Phone (919) 481-0277

7010 NC Highway 751
Durham, NC 27707
Phone (919) 313-3900

150 Francam Dr
Ste 120
Fayetteville, NC 28311
Phone (910) 487-1100

217 Glensford Dr
Fayetteville, NC 28314
Phone (910) 483-4647

3007 Town Center Dr
Ste 100101
Fayetteville, NC 28306
Phone (910) 354-1281

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1902512395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6809 TORRANCE LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145640",
            "telephone_number": "704-213-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 27TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583075",
            "telephone_number": "910-671-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Glensford Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283140892",
            "country_code": "US",
            "telephone_number": "910-483-4647",
            "fax_number": "910-483-6434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "HEATHER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5017552",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5017552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.