Brightlife International, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BRIGHTLIFE INTERNATIONAL, INC

Doing business as

BRT Medical Supply

Practice address

11633 Hawthorne Blvd
Suite 216
Hawthorne, CA 90250-2322

Phone

(310) 973-7322

Fax

(310) 973-4511

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Bright Enabulele

Title

President & Ceo

Phone

(310) 973-7322

Specialties & licenses 1

Addresses

Other names 1

• BRT MEDICAL SUPPLY Doing business as

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1356553564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11633 HAWTHORNE BLVD",
            "address_2": "SUITE 216",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502322",
            "telephone_number": "310-973-7322",
            "fax_number": "310-973-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11633 HAWTHORNE BLVD",
            "address_2": "SUITE 216",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502322",
            "telephone_number": "310-973-7322",
            "fax_number": "310-973-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTLIFE INTERNATIONAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "ENABULELE",
        "authorized_official_first_name": "BRIGHT",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "310-973-7322",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRT MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Mie Brechtelsbauer, PA-C
• Julia Catherine Brewer, NP
• Brian S. Lee, DDS, Inc.
• Duane E Bridges, M.D.
• Alfonso Brigham, M.D.
• Lawrence Brooks
• Cornesha Brown
• Derek Brown
• Kirk Douglas Brown
• Margaret Brown, LCSW, PPSC

• Durable Medical Equipment & Medical Supplies in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.