Active NPI
Donald Attridge Bright, M.D.
- Neurology Physician
- Bremerton, WA
National Provider Identifier
1366441040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 38432
- Practice address
- 2720 Clare Ave
Suite C
Bremerton, WA 98310-3374 - Phone
- (360) 377-9079
- Fax
- (360) 377-3262
- NPI assigned
- Jul 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 38432 | WA | Primary |
Addresses
Primary practice location
2720 Clare Ave
Suite C
Bremerton, WA 98310-3374
Mailing address
2720 Clare Ave Ste C
Bremerton, WA 98310-3374
Phone (360) 377-9079
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1110386 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200622002603 | WA | Order and Referring Only - Neurology | 6709079981 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38432 | WA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1366441040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 CLARE AVE STE C",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983103374",
"telephone_number": "360-377-9079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 CLARE AVE",
"address_2": "SUITE C",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983103374",
"telephone_number": "360-377-9079",
"fax_number": "360-377-3262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGHT",
"first_name": "DONALD",
"middle_name": "ATTRIDGE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-15",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WA",
"license": "38432",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1110386",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.