Individual provider Active NPI

Bridgett Evette Williams-Cooper, ARNP

  • Family Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1285129767
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11023539 Issued in FL
Practice address
6300 N Wickham Rd Ste 130-420
Melbourne, FL 32940-2028
Phone
(321) 261-7943
Fax
(321) 522-4500
NPI assigned
Jun 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 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 APRN11023539 FL Primary
Registered Nurse 163W00000X RN9323732 FL

Addresses

Primary practice location

6300 N Wickham Rd Ste 130-420
Melbourne, FL 32940-2028

Mailing address

879 Fiddleleaf Cir
Melbourne, FL 32904-8151
Phone (321) 795-1156

Other practice location 1

1051 Port Malabar Blvd NE Ste 4
Palm Bay, FL 32905-5153
Phone (321) 844-7001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MN, MA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230822001578 FL Practitioner - Nurse Practitioner 7416136593 Reassigns benefits to 4 organizations
I20240724000586 MN Practitioner - Nurse Practitioner 7416136593 Reassigns benefits to 1 organization
I20260514000481 MA Practitioner - Nurse Practitioner 7416136593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Medical Associates of Brevard LLCGroup PAC ID 4486558012, 75 clinicians
Rupala Ghanshyam LLCGroup PAC ID 4486194842, 3 clinicians

Practice addresses (Care Compare)

2200 W Eau Gallie Blvd
Suite 200
Melbourne, FL 32935-3166
Phone (321) 255-1500

828 Venturi CT
Melbourne, FL 32940-1797
Phone (321) 364-2080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9323732FLMDRegistered Nurse
APRN11023539FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rupala Ghanshyam LLC CurrentSince Jan 12, 2026 Accepting new patients
Medical Associates of Brevard LLC CurrentSince Aug 7, 2023 Accepting new patients
Community Care Health Network LLC CurrentSince Sep 1, 2025 Accepting new patients
Imperium Health Family CurrentSince Jan 1, 2026 Accepting new patients
Matrix Medical Plus CurrentSince Jul 1, 2024 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

2200 W Eau Gallie Blvd
Ste 200
Melbourne, FL 32935
Phone (321) 255-1500

6300 N Wickham Rd
Ste 130
Melbourne, FL 32940
Phone (757) 289-7670

1305 Hickory St
Melbourne, FL 32901
Phone (321) 255-1500

6300 N Wickham Rd
Ste 130420
Melbourne, FL 32940
Phone (321) 261-7943

1051 Port Malabar Blvd NE
Ste 4
Palm Bay, FL 32905
Phone (321) 725-3438

2202 N West Shore Blvd
Ste 200
Tampa, FL 33607
Phone (317) 452-4352

2202 N West Shore Blvd
Tampa, FL 33607
Phone (813) 416-4680

3 Allied Dr
Dedham, MA 02026
Phone (404) 587-0945

121 Washington Ave N
Fl 4
Minneapolis, MN 55401
Phone (404) 992-2702

Organizations & group practices 5

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": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1285129767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 FIDDLELEAF CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329048151",
            "telephone_number": "321-795-1156",
            "fax_number": "321-522-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 N WICKHAM RD STE 130-420",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402028",
            "telephone_number": "321-261-7943",
            "fax_number": "321-522-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1051 Port Malabar Blvd NE Ste 4",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329055153",
            "country_code": "US",
            "telephone_number": "321-844-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS-COOPER",
        "first_name": "BRIDGETT",
        "middle_name": "EVETTE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11023539",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9323732",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.