Active NPI
Jacob Michael Bright, D.O.
- Family Medicine Physician
- Wilmington, NC
National Provider Identifier
1114331964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2019-02643
- Practice address
- 1202 Medical Center Dr
Wilmington, NC 28401-7307 - Phone
- (910) 341-3300
- NPI assigned
- Jun 19, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0102204434 | VA | |
| Family Medicine Physician | 207Q00000X | 2019-02643 | NC | Primary |
Addresses
Primary practice location
1202 Medical Center Dr
Wilmington, NC 28401-7307
Mailing address
1202 Medical Center Dr
Wilmington, NC 28401-7307
Phone (910) 341-3000
Other practice location 1
300 East Hospital Road
Family Medicine Residency Program, DDEAMC
Fort Gordon, GA 30905-5650
Phone (706) 787-9358
Other practice location 2
650 Joel Dr
Fort Campbell, KY 42223-5318
Phone (270) 798-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1202 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540
Hospital & facility affiliations
- Novant Health New Hanover Regional Medical Center
- Onslow Memorial Hospital
- J Arthur Dosher Memorial Hospital
- Novant Health Brunswick Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019-02643 | NC | MD | Family Medicine Physician |
| 0102204434 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilmington Health PLLC | Current | Accepting new patients | |
| Wilmington ASC LLC | Current | Accepting new patients | |
| Wha Medical Clinic PLLC | Current | Accepting new patients |
Locations
1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705
Interoperability endpoints
- jacob.bright.p1@direct.wilmingtonhealth.nextgenshare.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Wilmington, NC
- NPI 1881632339
-
- Endoscopy Clinic/Center
- Wilmington, NC
- NPI 1083889091
-
- Ambulatory Surgical Clinic/Center
- Wilmington, NC
- NPI 1548456478
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bolivia, NC
- NPI 1710915756
-
- Rural Health Clinic/Center
- Oak Island, NC
- NPI 1235405358
Hospital
-
- General Practice Physician
- Bald Head Island, NC
- NPI 1376961219
Hospital
-
- Critical Access Hospital
- Southport, NC
- NPI 1538260229
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
-
- General Acute Care Hospital
- Jacksonville, NC
- NPI 1679535496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1114331964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017307",
"telephone_number": "910-341-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017307",
"telephone_number": "910-341-3300"
}
],
"practiceLocations": [
{
"address_1": "300 East Hospital Road",
"address_2": "Family Medicine Residency Program, DDEAMC",
"address_purpose": "LOCATION",
"city": "Fort Gordon",
"state": "GA",
"postal_code": "309055650",
"country_code": "US",
"telephone_number": "706-787-9358",
"fax_number": "706-787-1403",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "650 Joel Dr",
"address_purpose": "LOCATION",
"city": "Fort Campbell",
"state": "KY",
"postal_code": "422235318",
"country_code": "US",
"telephone_number": "270-798-8400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRIGHT",
"first_name": "JACOB",
"middle_name": "MICHAEL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-19",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102204434",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2019-02643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.