Organization Active NPI

Brightway Mobility LLC

  • Durable Medical Equipment & Medical Supplies
  • Raleigh, NC
National Provider Identifier
1497345029
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BRIGHTWAY MOBILITY LLC
Practice address
1525 S Blount St
Raleigh, NC 27603-2507
Phone
(919) 800-9902
Fax
(888) 643-2044
NPI assigned
Jan 18, 2021
Last updated
Jan 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Authorized official

Name
Mark E Phipps
Title
President
Phone
(919) 800-9902

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Customized Equipment (DME) 332BC3200X NU

Addresses

Primary practice location

1525 S Blount St
Raleigh, NC 27603-2507

Mailing address

1525 S Blount St
Raleigh, NC 27603-2507
Phone (919) 800-9902

Other practice location 1

2507 S 300 W
Salt Lake City, UT 84115-2908
Phone (801) 806-4848

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@brightwaymobility.com Direct

National Provider Directory

National Provider Directory

Locations

1525 S Blount St
Raleigh, NC 27603
Phone (919) 800-9902

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1497345029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 S BLOUNT ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276032507",
            "telephone_number": "919-800-9902",
            "fax_number": "888-643-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 S BLOUNT ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276032507",
            "telephone_number": "919-800-9902",
            "fax_number": "888-643-2044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2507 S 300 W",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841152908",
            "country_code": "US",
            "telephone_number": "801-806-4848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIGHTWAY MOBILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-800-9902"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@brightwaymobility.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1525 S Blount St",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276032507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.