NPIMap

Organization Active NPI

Brightstarts Pediatrics PC

  • Clinic/Center
  • Madison, AL
National Provider Identifier
1427032804
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
092226 Issued in AL
Legal business name
BRIGHTSTARTS PEDIATRICS PC
Practice address
3776 Sullivan St
Suite C
Madison, AL 35758-2371
Phone
(256) 461-8442
Fax
(256) 461-8447
NPI assigned
Nov 30, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jitendra A Jain, M.D.NPI 1003899386
Title
Chairman & Secretary
Phone
(256) 461-8442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 092226 AL Primary

Addresses

Primary practice location

3776 Sullivan St
Suite C
Madison, AL 35758-2371

Mailing address

PO Box 2200
Madison, AL 35758-5417
Phone (256) 461-8442

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427032804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2200",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357585417",
            "telephone_number": "256-461-8442",
            "fax_number": "256-461-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3776 SULLIVAN ST",
            "address_2": "SUITE C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582371",
            "telephone_number": "256-461-8442",
            "fax_number": "256-461-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSTARTS PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "JITENDRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHAIRMAN & SECRETARY",
        "authorized_official_telephone_number": "256-461-8442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AL",
            "license": "092226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.