Brightway Medical Management LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BRIGHTWAY MEDICAL MANAGEMENT LLC

Practice address

12808 Veterans Memorial Dr
Houston, TX 77014-2004

Phone

(832) 717-2780

Fax

(832) 717-2781

NPI assigned

Dec 6, 2017

Last updated

Dec 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nkemjika Ugbala, LPCNPI 1285163527

Title

Executive Director

Phone

(832) 717-2780

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nkemjika Ugbala, LPC

  • Professional Counselor
  • Houston, TX
  • NPI 1285163527
  Authorized official Same address or phone
• Chiamaka E Ugbala

  • Case Management Agency
  • Houston, TX
  • NPI 1114409968
  NPD (past)

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1053826651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12808 VETERANS MEMORIAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770142004",
            "telephone_number": "832-717-2780",
            "fax_number": "832-717-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12808 VETERANS MEMORIAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770142004",
            "telephone_number": "832-717-2780",
            "fax_number": "832-717-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTWAY MEDICAL MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "UGBALA",
        "authorized_official_first_name": "NKEMJIKA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "832-717-2780",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING",
            "identifier": "AP111047",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRIST",
            "identifier": "2189",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "8420",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brightstar Community Based Services
• Brightstar Hospitality Inc (Home Care Assitance of The Woodlands)
• Brightway Adult Day Care Center LLC
• Brightway Adult Daycare Center LLC
• Brightway Medical Billing, LLC
• Brightway Personal Care Home
• Brightway Therapy Services LLC
• Eileen Brightwell, D.D.S.
• Karen Lee Brill, LCSW
• Laura Ann Brill, MD

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.