Organization Active NPI

Brightlife Direct Inc

  • Prosthetic/Orthotic Supplier
  • Washington, DC
National Provider Identifier
1396944195
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
BRIGHTLIFE DIRECT INC
Practice address
4455 Connecticut Ave NW
Suite a-800
Washington, DC 20008
Phone
(202) 895-6945
Fax
(202) 895-6948
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Eldon Maxwell Bright Jr.
Title
President
Phone
(202) 895-6945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

4455 Connecticut Ave NW
Suite a-800
Washington, DC 20008

Mailing address

4455 Connecticut Ave NW
Suite a-800
Washington, DC 20008
Phone (202) 895-6945

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1396944195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 CONNECTICUT AVE NW",
            "address_2": "SUITE A-800",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20008",
            "telephone_number": "202-895-6945",
            "fax_number": "202-895-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 CONNECTICUT AVE NW",
            "address_2": "SUITE A-800",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20008",
            "telephone_number": "202-895-6945",
            "fax_number": "202-895-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTLIFE DIRECT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "BRIGHT",
        "authorized_official_first_name": "ELDON",
        "authorized_official_middle_name": "MAXWELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-895-6945",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.