Individual provider Active NPI

Michael Dorian McBride, M.D.

  • Pediatrics Physician
  • Fort Oglethorpe, GA
National Provider Identifier
1407826795
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
71447 Issued in GA
Practice address
Bright Pediatrics
2366 Battlefield Pkwy
Fort Oglethorpe, GA 30742
Phone
(705) 841-0150
Fax
(705) 841-0151
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 71447 GA Primary

Addresses

Primary practice location

Bright Pediatrics
2366 Battlefield Pkwy
Fort Oglethorpe, GA 30742

Mailing address

Bright Pediatrics
2366 Battlefield Pkwy
Fort Oglethorpe, GA 30742
Phone (705) 841-0150

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
71447GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Pediatrics, PC Pediatrics CurrentSince Jun 11, 2023 Accepting new patients
Parkridge Medical Center, Inc. Past Accepting new patients

Locations

2918 E Walnut Ave
Dalton, GA 30721
Phone (706) 529-4600

2366 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 841-0150

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1407826795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BRIGHT PEDIATRICS",
            "address_2": "2366 BATTLEFIELD PKWY",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "30742",
            "telephone_number": "705-841-0150",
            "fax_number": "705-841-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BRIGHT PEDIATRICS",
            "address_2": "2366 BATTLEFIELD PKWY",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "30742",
            "telephone_number": "705-841-0150",
            "fax_number": "705-841-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "MICHAEL",
        "middle_name": "DORIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2023-09-05",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "71447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Oglethorpe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.