Active NPI
Bright Pediatrics
- Primary Care Clinic/Center
- Panama City, FL
National Provider Identifier
1306202197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- ME111081
- Legal business name
- BRIGHT PEDIATRICS
- Practice address
- 3520 E 15TH St
Panama City, FL 32404-5831 - Phone
- (850) 763-4104
- Fax
- (850) 763-6689
- NPI assigned
- Jan 8, 2016
- Organization subpart
- Yes
- Parent organization
- BRIGHT PEDIATRICS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sameh M Elamir X, MD
- Title
- MD
- Phone
- (850) 257-5147
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | ME111081 | FL | Primary |
Addresses
Primary practice location
3520 E 15TH St
Panama City, FL 32404-5831
Mailing address
340 W 23Rd St
Suite B
Panama City, FL 32405-7600
Phone (850) 257-5147
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004305100 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Bright Pediatrics Inc
- Part of
- Bright Pediatrics Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Panama City, FL
- NPI 1497022685
Locations
3520 E 15th St
Panama City, FL 32404
Phone (850) 215-1312
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Pediatrics Physician
- Panama City, FL
- NPI 1497022685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452211200000",
"number": "1306202197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 W 23RD ST",
"address_2": "SUITE B",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324057600",
"telephone_number": "850-257-5147",
"fax_number": "850-257-5886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 E 15TH ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324045831",
"telephone_number": "850-763-4104",
"fax_number": "850-763-6689"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHT PEDIATRICS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BRIGHT PEDIATRICS",
"enumeration_date": "2016-01-08",
"last_updated": "2016-01-08",
"status": "A",
"authorized_official_last_name": "ELAMIR",
"authorized_official_first_name": "SAMEH",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "850-257-5147",
"authorized_official_name_suffix": "X",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "ME111081",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004305100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.