Bright Health Clinic Corp

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BRIGHT HEALTH CLINIC CORP

Practice address

3592 Aloma Ave Ste 5
Winter Park, FL 32792-4012

Phone

(407) 960-1413

Fax

(407) 960-1553

NPI assigned

Apr 21, 2019

Organization subpart

No

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

Authorized official

Name

Leydi Domiguez, APRN

Title

President

Phone

(407) 960-1413

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leydi Dominguez, ARNP

  • Family Nurse Practitioner
  • Winter Park, FL
  • NPI 1871039115
  Medicare reassignment NPD

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

{
    "created_epoch": "1555804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555804800000",
    "number": "1316500796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3592 ALOMA AVE STE 5",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924012",
            "telephone_number": "407-960-1413",
            "fax_number": "407-960-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3592 ALOMA AVE STE 5",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924012",
            "telephone_number": "407-960-1413",
            "fax_number": "407-960-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT HEALTH CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-21",
        "last_updated": "2019-04-21",
        "status": "A",
        "authorized_official_last_name": "DOMIGUEZ",
        "authorized_official_first_name": "LEYDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-960-1413",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Brick
• Jason Bridge, M.D.
• Lauren Bridge, M.D.
• Ashley M Bridges
• Bright Clarity Mental Health LLC
• Bright Health Home Care Agency LLC
• Bright Minds Therapy Center LLC
• Brightstar Lab Pro LLC
• Shantel Brinnius
• Timothy Brinson

• General Practice Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.