NPIMap

Organization Active NPI

Brightside Medical of Michigan PC

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1144800350
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BRIGHTSIDE MEDICAL OF MICHIGAN PC
Practice address
5214F Diamond Heights Blvd # 3422
San Francisco, CA 94131-2175
Phone
(415) 360-3348
NPI assigned
Apr 12, 2021
Last updated
Jan 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Authorized official

Name
Justin Bailey HuntNPI 1326138074
Title
President
Phone
(501) 614-2006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

5214F Diamond Heights Blvd # 3422
San Francisco, CA 94131-2175

Mailing address

2261 Market St Ste 10222
San Francisco, CA 94114-1612
Phone (415) 360-3348

Other practice location 1

2111 S 67th St Ste 300
Omaha, NE 68106-2882
Phone (415) 360-3348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, GA, MI, OR, AR, RI, DC, MT, OK, ND10 enrollments

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
O20230224000098 IL Part B Supplier - Clinic/Group Practice 9830562776 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL
O20230404000719 GA Part B Supplier - Clinic/Group Practice 9830562776 Receives reassigned benefits from 58 practitioners
Practice locations: Atlanta, GA
O20230404001178 MI Part B Supplier - Clinic/Group Practice 9830562776 Receives reassigned benefits from 17 practitioners
Practice locations: Ann Arbor, MI
O20230417000538 OR Part B Supplier - Clinic/Group Practice 9830562776 Receives reassigned benefits from 11 practitioners
Practice locations: Salem, OR; Tigard, OR; Clackamas, OR
O20230821000585 AR Part B Supplier - Clinic/Group Practice 9830562776 Receives reassigned benefits from 17 practitioners
Practice locations: Little Rock, AR
O20230823000957 RI Part B Supplier - Clinic/Group Practice 9830562776 Receives reassigned benefits from 1 practitioner
Practice locations: Providence, RI
O20230906001711 DC Part B Supplier - Clinic/Group Practice 9830562776 Receives reassigned benefits from 2 practitioners
Practice locations: Washington, DC
O20230907004119 MT Part B Supplier - Clinic/Group Practice 9830562776 Receives reassigned benefits from 5 practitioners
Practice locations: Kalispell, MT; Billings, MT
O20230911000972 OK Part B Supplier - Clinic/Group Practice 9830562776 Receives reassigned benefits from 7 practitioners
Practice locations: Idabel, OK
O20230927002707 ND Part B Supplier - Clinic/Group Practice 9830562776 Receives reassigned benefits from 3 practitioners
Practice locations: Fargo, ND; West Fargo, ND

National Provider Directory

National Provider Directory
Tax ID family
Brightside Medical of Michigan PC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2471 Peralta St
Oakland, CA 94607
Phone (614) 208-7845

712 H St NE
Ste 2507
Washington, DC 20002

2601 Jackson Ave
#1133
Ann Arbor, MI 48103

Practitioners & affiliated clinicians

Practitioners 135

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.

View all 135

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1144800350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 MARKET ST STE 10222",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141612",
            "telephone_number": "415-360-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214F DIAMOND HEIGHTS BLVD # 3422",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941312175",
            "telephone_number": "415-360-3348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2111 S 67th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681062882",
            "country_code": "US",
            "telephone_number": "415-360-3348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIGHTSIDE MEDICAL OF MICHIGAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "BAILEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-614-2006"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.