Active NPI
Brightway Mobility LLC
- Durable Medical Equipment & Medical Supplies
- Raleigh, NC
National Provider Identifier
1497345029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2021
- 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
- Mark E Phipps
- Title
- President
- Phone
- (919) 800-9902
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@brightwaymobility.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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.