Organization Active NPI

Bright Future Primary Care, Inc.

  • Family Medicine Physician
  • Middlesboro, KY
National Provider Identifier
1518235563
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29890 Issued in KY
Legal business name
BRIGHT FUTURE PRIMARY CARE, INC.
Practice address
3602 West Cumberland Ave.,
Ste. B-102
Middlesboro, KY 40965
Phone
(606) 248-7778
Fax
(606) 248-7787
NPI assigned
Dec 6, 2011
Last updated
Apr 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Mohamad Hakam Alnahhas, M.D.NPI 1568463834
Title
Medical Director
Phone
(606) 248-7778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29890 KY Primary
Pediatrics Physician 208000000X 29890 KY

Addresses

Primary practice location

3602 West Cumberland Ave.,
Ste. B-102
Middlesboro, KY 40965

Mailing address

PO Box 2898
Middlesboro, KY 40965-4898
Phone (606) 248-7778

Other identifiers 1

IdentifierTypeStateIssuer
7100194870MedicaidKY

National Provider Directory

National Provider Directory

Locations

3602 Cumberland Ave
Ste B102
Middlesboro, KY 40965
Phone (606) 242-1577

Practitioners & affiliated clinicians

Practitioners 1

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": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1518235563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2898",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409654898",
            "telephone_number": "606-248-7778",
            "fax_number": "606-248-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 WEST CUMBERLAND AVE.,",
            "address_2": "STE. B-102",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "40965",
            "telephone_number": "606-248-7778",
            "fax_number": "606-248-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT FUTURE PRIMARY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "ALNAHHAS",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_middle_name": "HAKAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "606-248-7778",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "29890",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "29890",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100194870",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.