Organization Active NPI

Bright Lives Transportation

  • Non-emergency Medical Transport (VAN)
  • Raleigh, NC
National Provider Identifier
1316480239
Registry record updated Nov 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
BRIGHT LIVES TRANSPORTATION
Practice address
4913 Professional CT Ste 9B
Raleigh, NC 27609-4913
Phone
(252) 367-2288
NPI assigned
Nov 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2016

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

Authorized official

Name
Ebonie Brown
Title
President
Phone
(919) 916-8100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary
Private Vehicle 347C00000X

Addresses

Primary practice location

4913 Professional CT Ste 9B
Raleigh, NC 27609-4913

Mailing address

4913 Professional CT Ste 9B
Raleigh, NC 27609-4913
Phone (252) 367-2288

Other identifiers 1

IdentifierTypeStateIssuer
99999MedicaidNC

National Provider Directory

National Provider Directory

Locations

4913 Professional Ct
Ste 9B
Raleigh, NC 27609
Phone (252) 367-2288

NPI Registry JSON

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

{
    "created_epoch": "1480032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480032000000",
    "number": "1316480239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 PROFESSIONAL CT STE 9B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094913",
            "telephone_number": "252-367-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 PROFESSIONAL CT STE 9B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094913",
            "telephone_number": "252-367-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT LIVES TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-25",
        "last_updated": "2016-11-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "EBONIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-916-8100"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99999",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

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

Verify at the official NPI Registry.