DOMINIQUE ALICIA BRYAN APRN
NPI 1770330599
Nurse Practitioner - Family in Altamonte Springs, FL

Q: What is Dominique Bryan's NPI number?

The NPI number for Dominique Bryan is 1770330599. It was assigned to this individual provider in the NPPES registry on April 30, 2024. The provider is also known as Dominique Alicia Gillespie.

Q: What is Dominique Bryan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Dominique Bryan was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 April 30, 2024PECOS Enrolled

1013 N SR 434 STE 1060, ALTAMONTE SPRINGS, FL 32714(407) 867-0008(407) 477-5668 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 17, 2025, Apr 30, 2024 (2 updates tracked since 2024).

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About Dominique Alicia Bryan Aprn NPPES

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

DOMINIQUE ALICIA BRYAN APRN (NPI 1770330599) is an individual family provider in Altamonte Springs, Florida, licensed in Florida (APRN11032913) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1770330599

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDOMINIQUE ALICIA BRYANCredential: APRN

Location Address1013 N SR 434 STE 1060Altamonte Springs, FL 32714-7078

Mailing Address1013 N Sr 434 Ste 1060Altamonte Springs, FL 32714-7078 · (407) 867-0008

Phone(407) 867-0008

Fax(407) 477-5668

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 30, 2024

Last NPPES UpdateNovember 17, 20252 updates tracked since enumeration

NPPES CertifiedNovember 17, 2025

✔ NPI 1770330599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN11032913

Also ListedRegistered NurseTaxonomy 163W00000X · License RN9587343 (FL)

1013 N SR 434 STE 1060, Altamonte Springs, FL 32714

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Other Names 1

Former Name (1)Dominique Alicia Gillespie

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominique Alicia Bryan Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668969387

PECOS Enrollment IDI20251016000748

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 32714 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Bryan's NPI number?

The NPI number for Dominique Bryan is 1770330599. It was assigned to this individual provider in the NPPES registry on April 30, 2024. The provider is also known as Dominique Alicia Gillespie.

Where is Dominique Bryan located?

Dominique Bryan practices at 1013 N Sr 434 Ste 1060, Altamonte Springs, FL 32714. The listed phone number is (407) 867-0008.

What is Dominique Bryan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dominique Bryan enrolled in Medicare?

Yes. Dominique Bryan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dominique Bryan was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.