Individual provider Active NPI

Brandon David Bright, LAC

  • Acupuncturist
  • Long Beach, CA
National Provider Identifier
1407296932
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
15483 Issued in CA
Practice address
6324 E Pacific Coast Hwy Ste C
Long Beach, CA 90803-4841
Phone
(562) 493-5600
NPI assigned
Jun 28, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 15483 CA Primary

Addresses

Primary practice location

6324 E Pacific Coast Hwy Ste C
Long Beach, CA 90803-4841

Mailing address

434 Lenwood Dr
Costa Mesa, CA 92627-3215
Phone (714) 206-7883

Other practice location 1

13732 Newport Ave Ste 2
Tustin, CA 92780-4698
Phone (714) 206-7883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1407296932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 LENWOOD DR",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273215",
            "telephone_number": "714-206-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6324 E PACIFIC COAST HWY STE C",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034841",
            "telephone_number": "562-493-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13732 Newport Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927804698",
            "country_code": "US",
            "telephone_number": "714-206-7883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIGHT",
        "first_name": "BRANDON",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2023-02-10",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "15483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.