BRYA SIMONE BRADLEY
NPI 1700754157
Nurse Practitioner - Women's Health in Fayetteville, NC

Q: What is Brya Bradley's NPI number?

The NPI number for Brya Bradley is 1700754157. It was assigned to this individual provider in the NPPES registry on October 27, 2025.

Q: What is Brya Bradley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Brya Bradley was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 October 27, 2025PECOS Enrolled

1261 OLIVER ST, FAYETTEVILLE, NC 28304(910) 323-1626 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Brya Simone Bradley NPPES

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

BRYA SIMONE BRADLEY (NPI 1700754157) is an individual women's health provider in Fayetteville, North Carolina, licensed in North Carolina (5023367) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (2022).

NPPES Registry Identity

NPI1700754157

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameBRYA SIMONE BRADLEY

Location Address1261 OLIVER STFayetteville, NC 28304-4450

Mailing Address1261 Oliver StFayetteville, NC 28304-4450 · (910) 323-1626 · Fax (910) 323-9056

Phone(910) 323-1626

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 2022

Enumeration DateOctober 27, 2025

Last NPPES UpdateDecember 23, 2025

NPPES CertifiedDecember 23, 2025

✔ NPI 1700754157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in NC · 5023367

1261 OLIVER ST, Fayetteville, NC 28304

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brya Simone Bradley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224516851

PECOS Enrollment IDI20260204000020

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 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

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

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 9

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

AMAZING CARE HOME HEALTH AGENCY INC

Nurse Practitioner