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BRIGHTVIEW LLC NPI 1225633589


NPI Information

NPI: 1225633589
Provider Name: BRIGHTVIEW, LLC
Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 18D2200775

Address:
5108 SANDY LN
FAIRFIELD, OH
ZIP 45014
Phone: (513) 834-7063
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BRIGHTVIEW, LLC is an addiction medicine internal medicine in Fairfield, OH. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. BRIGHTVIEW, LLC NPI is 1225633589. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5108 SANDY LN
FAIRFIELD, OH
ZIP 45014-738
Phone: (513) 834-7063
Fax: (513) 873-1567

The provider's authorized official is Amy Marie Nieman .
The authorized official title is Director and has the following contact phone number (833) 510-4357.

The CLIA number assigned to this NPI record is 18D2200775 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/3/2020 and was last updated on 10/16/2023.


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
12084P0800XPsychiatry & NeurologyPsychiatryNo
2261QM2800XClinic/CenterMethadoneNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
4207RA0401XInternal MedicineAddiction MedicineYes

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: 5/5/2024

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