Active NPI
Brightpath Health
- Family Nurse Practitioner
- Germantown, MD
National Provider Identifier
1356255665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- BRIGHTPATH HEALTH
- Practice address
- 12410 Milestone Center Dr Ste 600
Germantown, MD 20876-7102 - Phone
- (240) 881-3733
- NPI assigned
- Oct 1, 2026
- Last updated
- Oct 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eleanor Dzodzomenyo, CRNP
- Title
- Nurse Practitioner
- Phone
- (240) 881-3733
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
12410 Milestone Center Dr Ste 600
Germantown, MD 20876-7102
Mailing address
12410 Milestone Center Dr Ste 600
Germantown, MD 20876-7102
Phone (240) 881-3733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790812800000",
"number": "1356255665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12410 MILESTONE CENTER DR STE 600",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208767102",
"telephone_number": "240-881-3733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12410 MILESTONE CENTER DR STE 600",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208767102",
"telephone_number": "240-881-3733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHTPATH HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-01",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A",
"authorized_official_last_name": "DZODZOMENYO",
"authorized_official_first_name": "ELEANOR",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "240-881-3733",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.