Active NPI
Mark T Bright, MD
- Family Medicine Physician
- Mansfield, MA
National Provider Identifier
1548243587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 54645
- Practice address
- 200 Copeland Dr
Mansfield, MA 02048-1225 - Phone
- (508) 339-4144
- Fax
- (508) 261-9940
- NPI assigned
- Nov 23, 2005
- Last updated
- May 16, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 54645 | MA | Primary |
Addresses
Primary practice location
200 Copeland Dr
Mansfield, MA 02048-1225
Mailing address
200 Copeland Dr
Mansfield, MA 02048-1225
Phone (508) 339-4144
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6194389 | Medicaid | MA | |
| AA206543 | Other | MA | HPHC |
| 54645 | Other | MA | TUFTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgewater Pediatrics LLC | Past | Accepting new patients | |
| Good Samaritan Medical Practice Corp | Past | Accepting new patients | |
| Sturdy Health, Inc. | Family Medicine | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Bridgewater, MA
- NPI 1255579975
-
- Specialist
- Brockton, MA
- NPI 1285625137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368662400000",
"number": "1548243587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 COPELAND DR",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020481225",
"telephone_number": "508-339-4144",
"fax_number": "508-261-9940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 COPELAND DR",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020481225",
"telephone_number": "508-339-4144",
"fax_number": "508-261-9940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGHT",
"first_name": "MARK",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-23",
"last_updated": "2013-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "54645",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6194389",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "AA206543",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "54645",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.