MS. BRIANNA NICOLE BRYAN PA
NPI 1639767502
Physician Assistant in Lillington, NC

Q: What is Brianna Bryan's NPI number?

The NPI number for Brianna Bryan is 1639767502. It was assigned to this individual provider in the NPPES registry on January 6, 2021.

Q: What is Brianna Bryan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Brianna Bryan was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 06, 2021PECOS EnrolledAccepts Medicare Assignment

4350 US 421 S, LILLINGTON, NC 27546(910) 893-1210 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2021, Sep 16, 2021, Jan 6, 2021 (3 updates tracked since 2021).

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About Ms. Brianna Nicole Bryan Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. BRIANNA NICOLE BRYAN PA (NPI 1639767502) is an individual physician assistant in Lillington, North Carolina, licensed in North Carolina (0010-11523) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Johnston Health, and maintains a secondary practice location in Smithfield.

NPPES Registry Identity

NPI1639767502

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. BRIANNA NICOLE BRYANCredential: PA

Location Address4350 US 421 SLillington, NC 27546-6760

Mailing Address4905 Halberd CtRaleigh, NC 27613-6088

Phone(910) 893-1210

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 6, 2021

Last NPPES UpdateSeptember 28, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2021

✔ NPI 1639767502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-11523

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4350 US 421 S, Lillington, NC 27546

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Secondary Practice Location 1

Location 1509 N Brightleaf BlvdSmithfield, NC 27577-4407 · Phone (919) 784-3542

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Brianna Nicole Bryan Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941607725

PECOS Enrollment IDI20210921002413

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johnston Health

Acute Care Hospitals · Smithfield, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340090

Location509 Bright Leaf BlvdSmithfield, NC 27577 · Johnston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRACE GLASS

Physician Assistant