Opeoluwa Samuel Bright

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

1112646 Issued in MN

Practice address

5019 25TH Ave NW
Rochester, MN 55901-5830

Phone

(763) 639-2552

NPI assigned

Jan 27, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1629784137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5206 PALMER LN NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013871",
            "telephone_number": "763-639-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 25TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559015830",
            "telephone_number": "763-639-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHT",
        "first_name": "OPEOLUWA",
        "middle_name": "SAMUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MN",
            "license": "1112646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy William Briggs, PA-C
• Morgan R Briggs, MD
• Emily Brigham, CNP
• Bright Future (Irts) L. L. C.
• Bright Star Therapy Inc
• Rachel Fisher Bright
• Waleed Brinjikji, M.D.
• Ann Marie Brink, RN, CRNA
• Gary Jerome Brink, LMFT
• Colleen Marie Brinkman, PHARM D

• Foster Care Agency in Rochester, MN
• Providers in Rochester, MN by specialty
• Foster Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.