Brian Earl Bristol, ANP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP 22533 Issued in CA

Practice address

12900 Park Plaza Dr
Suite 150
Cerritos, CA 90703-9329

Phone

(800) 499-2793

NPI assigned

Dec 6, 2012

Last updated

Dec 6, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Van Nuys Urgent Care Family Medicine IncGroup PAC ID 7214157650, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brian.bristol@vnucfm-ca.direct.office.nextgen.com
• Direct secure messaging: brian.earl.bristol.1@16174.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/16174/brand/3/csg/1/fhir/r4
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

• Van Nuys Urgent Care Family Medicine Inc

  • Urgent Care Clinic/Center
  • Van Nuys, CA
  • NPI 1609280767
  Medicare reassignment Care Compare group NPD
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593
  Medicare reassignment NPD
• Medcheck Health Medical Group

  • General Practice Physician
  • Van Nuys, CA
  • NPI 1023793601
  NPD Authorized official
• Premier Care Providers, Inc

  • Primary Care Nurse Practitioner
  • Van Nuys, CA
  • NPI 1821893983
  NPD Authorized official
• Central Neighborhood Health Foundation

  • Community Health Clinic/Center
  • Los Angeles, CA
  • NPI 1639336803
  Medicare reassignment
• H Street Clinic

  • Primary Care Clinic/Center
  • San Bernardino, CA
  • NPI 1841437241
  Medicare reassignment
• Family and Wound Care Solutions

  • Family Nurse Practitioner
  • Tarzana, CA
  • NPI 1689482416
  NPD
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Durable Medical Equipment & Medical Supplies
  • Murrieta, CA
  • NPI 1760057269
  NPD

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1265777981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N CRESCENT HEIGHTS BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900482204",
            "telephone_number": "310-795-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 PARK PLAZA DR",
            "address_2": "SUITE 150",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039329",
            "telephone_number": "800-499-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISTOL",
        "first_name": "BRIAN",
        "middle_name": "EARL",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP 22533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandro Bravo
• Maricela Bravo
• Ashley Bray
• Brian Fong OD Inc
• Savannah Dion Brim
• Perla Brito
• Gretchen Lorraine Broman, APN, RN
• Marlena Keyshauna Ciara Brooks
• James Wesley Brothers
• Schierlynda Brown-Gray

• Nurse Practitioner in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.