Bright Pediatrics Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME111081 Issued in FL

Legal business name

BRIGHT PEDIATRICS INC.

Practice address

3520 E 15TH St
Panama City, FL 32404-5831

Phone

(850) 763-4104

Fax

(850) 763-6689

NPI assigned

Nov 16, 2011

Organization subpart

No

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

Authorized official

Name

Sameh Mohamed Elamir, MD

Title

President

Phone

(850) 763-4104

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Bright Pediatrics Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bright Pediatrics

  • Primary Care Clinic/Center
  • Panama City, FL
  • NPI 1306202197
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Bright Pediatrics

  • Primary Care Clinic/Center
  • Panama City, FL
  • NPI 1306202197
  NPPES parent name

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1497022685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO. BOX 1491",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324445431",
            "telephone_number": "850-763-4104",
            "fax_number": "850-763-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 E 15TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324045831",
            "telephone_number": "850-763-4104",
            "fax_number": "850-763-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT PEDIATRICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "ELAMIR",
        "authorized_official_first_name": "SAMEH",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-763-4104",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME111081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004030700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridges of Care Inc
• Bridgewater Emergency Physicians, LLC
• Anthony Briel
• Bright Life Therapy LLC
• Bright Pediatrics
• Brightstar FL/Al Operations, LLC
• Kelli Elizabeth Brinker, B.C.A.B.A
• Bryan Brinson
• Mykhala Quinn Britt, RBT
• Jeffery Brittain, RPH

• Pediatrics Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.