Brightview LLC
Organization Active NPI Addiction Medicine (Internal Medicine) Physician · Clarkson, KY
NPI 1053064006 · NPPES record last updated Aug 1, 2023
Key facts
- NPI
- 1053064006
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction Medicine (Internal Medicine) Physician 207RA0401X
- Legal business name
- BRIGHTVIEW LLC
- Practice address
- 625 W Main St
Clarkson, KY 42726-7044 - Phone
- (833) 510-4357
- Fax
- (866) 460-2997
- NPI assigned
- Jan 31, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- BRIGHTVIEW LLC
Authorized official
- Name
- Amy Marie Nieman
- Title
- Director
- Phone
- (513) 544-1003
Corporate family (same tax ID) 27
National Provider Directory
- Tax ID family
- Brightview LLC
- Part of
- Brightview LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician |
207RA0401X | Yes | ||
| Psychiatry Physician |
2084P0800X | |||
| Methadone Clinic | 261QM2800X |
Addresses
Primary practice location
625 W Main St
Clarkson, KY 42726-7044
Mailing address
4600 Montgomery Rd
Cincinnati, OH 45212-2697
Phone (833) 510-4357
Other providers in Clarkson, KY
- Vanda Shea Aubrey
- Melissa J Baker
- Deborah Beville
- Diana Lynn Blair
- Jenna Bratcher
- Mahalie Cain
- Clarkson Clinic, PLLC
- Clarkson Diabetic Shoes & More, LLC
- Clarkson Drug Store, Inc.
- Jessica Lane Clemons
All providers in Clarkson, KY · Addiction Medicine (Internal Medicine) Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.