Nathan L. Brightwell, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

DRP.0000762 Issued in CO

Practice address

1330 Cedar Ridge LN
Colorado Springs, CO 80919-1406

Phone

(719) 963-6677

NPI assigned

Sep 15, 2005

Reactivated

Apr 6, 2006

Last updated

Jan 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1174518054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 CEDAR RIDGE LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191406",
            "telephone_number": "719-963-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 CEDAR RIDGE LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191406",
            "telephone_number": "719-963-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHTWELL",
        "first_name": "NATHAN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "DRP.0000762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04011995",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Bright, RDH
• Lisa Bright
• Brighter Brainwave, LLC
• Brighter Days Dental Hygiene Clinic
• Brighton Hospice Colorado Springs LLC
• Alice S Brill, PH.D.
• Robert Brill Jr.
• Brillbehavior Analysts, LLC
• Halle Brimm, LPCC
• Brandy Bring, LPC

• Specialist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.