Active NPI
Brightway Therapy Services LLC
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1417457797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BRIGHTWAY THERAPY SERVICES LLC
- Practice address
- 12808 Veterans Memorial Dr
Houston, TX 77014-2004 - Phone
- (832) 602-5114
- Fax
- (281) 661-1186
- NPI assigned
- Feb 13, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ike Oji
- Title
- Executive Director
- Phone
- (832) 602-5114
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TX | Primary |
Addresses
Primary practice location
12808 Veterans Memorial Dr
Houston, TX 77014-2004
Mailing address
12808 Veterans Memorial Dr
Houston, TX 77014-2004
Phone (832) 602-5114
National Provider Directory
National Provider DirectoryLocations
12808 Veterans Memorial Dr
#A
Houston, TX 77014
Phone (832) 602-5114
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Houston, TX
- NPI 1851406573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518480000000",
"number": "1417457797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12808 VETERANS MEMORIAL DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770142004",
"telephone_number": "832-602-5114",
"fax_number": "281-661-1186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12808 VETERANS MEMORIAL DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770142004",
"telephone_number": "832-602-5114",
"fax_number": "281-661-1186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHTWAY THERAPY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-13",
"last_updated": "2018-02-13",
"status": "A",
"authorized_official_last_name": "OJI",
"authorized_official_first_name": "IKE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "832-602-5114",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.