The high-strain direct testing method is a novel technique for dynamic testing of pile bearing capacity, developed as an improvement to the traditional high-strain method. While its theoretical feasibility has been demonstrated through numerical simulations and laboratory experiments, its effectiveness in practical engineering applications remains uncertain. This paper discusses the foundational theory of the high-strain direct testing method, highlighting its clear calculation principles, straightforward process, and advantage of not requiring iterative fitting. The bridge project in Zhuhai, Guangdong Province, China, serves as a case study. An instrumentation layout for concrete-filled piles was designed based on the principles of the high-strain direct testing method, and data processing and analysis programs were developed using Python. Fifteen test piles were selected for field application of the high-strain direct testing method, with detailed analysis conducted on the results from four test piles. The test results were consistent with the soil layer distribution characteristics beneath the four piers of the bridge, validating the feasibility of this method in actual engineering practice. Subsequent static load tests on these four test piles allowed for a comparison with the high-strain direct testing method results, confirming the accuracy and reliability of the high-strain direct testing method for determining the bearing capacity of single piles. Furthermore, this paper identifies sources of error in the application of this method and proposes corresponding improvement measures. As this method directly derives results from instrumented measurements, it is theoretically applicable to piles of any cross-sectional shape and material, provided that enough measurement lines can be successfully arranged along the pile shaft. This capability allows for the real-time estimation of the ultimate bearing capacity during pile driving, thereby enhancing the universality of the high-strain direct dynamic testing method beyond traditional techniques.