Brighterlife Family Wellness Center, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

189082-4405 Issued in UT

Legal business name

BRIGHTERLIFE FAMILY WELLNESS CENTER, PLLC

Practice address

471 E 1000 S
Ste E
Pleasant Grove, UT 84062-3693

Phone

(385) 233-3350

Fax

(385) 233-3354

NPI assigned

Dec 8, 2016

Organization subpart

No

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

Authorized official

Name

Tami L Pearce, FNP-C

Title

Owner/Manager

Phone

(801) 372-5899

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1619411774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 E 1000 S",
            "address_2": "STE E",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623693",
            "telephone_number": "385-233-3350",
            "fax_number": "385-233-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 E 1000 S",
            "address_2": "STE E",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623693",
            "telephone_number": "385-233-3350",
            "fax_number": "385-233-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTERLIFE FAMILY WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "801-372-5899",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "189082-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caradon Bowen
• Matthew Kyle Bowen, DDS
• Diane Gardner Bowers, LCSW
• Bridgehope Family Therapy, LLC
• Myken Briem, LCSW
• Brightwork Villa Park Place
• Brightwork Villa Pleasant Grove LLC
• Chelsea Christina Brinkerhoff, LCSW
• Alicia Marie Britt
• Jayne Olivia Broadbent

• Family Medicine Physician in Pleasant Grove, UT
• Providers in Pleasant Grove, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.