DR. CHACEY BRYAN M.D. NPI 1699228734

NPI Information

  • NPI: 1699228734
  • Provider Name: DR. CHACEY BRYAN, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3205 RANDALL PKWY STE 105
    WILMINGTON, NC
    ZIP 28403
  • Phone: (910) 742-9243

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NPI Details

DR. Chacey Bryan, M.D. is a general practice in Wilmington, NC with 10 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Chacey Bryan, M.D. NPI is 1699228734. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year:2016

The provider's business location address is:

3205 RANDALL PKWY STE 105
WILMINGTON, NC
ZIP 28403-565
Phone: (910) 742-9243

The NPI 1699228734 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Nursing facility discharge management, more than 30 minutes (HCPCS:99316)
  • Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. (HCPCS:99424)
  • Principal care management services for a single high-risk disease, each additional 30 minutes provided personally by qualified health care professional, per calendar month (HCPCS:99425)

The enumeration date for this NPI number is 7/25/2016 and was last updated on 10/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine87072SOUTH CAROLINANo
2208D00000XGeneral Practice296938-1NEW YORKNo
3208D00000XGeneral Practice87072SOUTH CAROLINAYes
4208D00000XGeneral Practice2024-01387NORTH CAROLINANo
5390200000XStudent in an Organized Health Care Education/Training ProgramNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1870720MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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