Individual provider Active NPI

Brianne Nicole Bridgeland, ARNP

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
National Provider Identifier
1104070598
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60033974 Issued in WA
Practice address
8659 Haven Ave Ste 100
Rancho Cucamonga, CA 91730-4893
Phone
(909) 920-0444
Fax
(909) 920-5044
NPI assigned
Nov 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60033974 WA Primary
Registered Nurse 163W00000X RN00162116 WA

Addresses

Primary practice location

8659 Haven Ave Ste 100
Rancho Cucamonga, CA 91730-4893

Mailing address

8659 Haven Ave Ste 100
Rancho Cucamonga, CA 91730-4893
Phone (909) 920-0444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230630002910 CA Practitioner - Nurse Practitioner 8224194063 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Basim Z. Abdelkarim, M.D., Inc. CurrentSince Apr 19, 2023 Accepting new patients
Endocrine Advantage, a Medical Corporation CurrentSince Mar 1, 2025 Accepting new patients

Locations

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

10807 Laurel St
Ste 200
Rancho Cucamonga, CA 91730
Phone (909) 757-8078

8659 Haven Ave
Ste 100
Rancho Cucamonga, CA 91730
Phone (909) 920-0444

1310 San Bernardino Rd
Ste 103
Upland, CA 91786
Phone (909) 920-0444

Interoperability endpoints

  • Direct secure messaging: bbridgeland186141@wm.providencedirect.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1104070598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8659 HAVEN AVE STE 100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304893",
            "telephone_number": "909-920-0444",
            "fax_number": "909-920-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8659 HAVEN AVE STE 100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304893",
            "telephone_number": "909-920-0444",
            "fax_number": "909-920-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGELAND",
        "first_name": "BRIANNE",
        "middle_name": "NICOLE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60033974",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00162116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.