NPIMap

Organization Active NPI

Bright Future Pediatrics, P.S.C.

  • Primary Care Clinic/Center
  • Florence, KY
National Provider Identifier
1639280183
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BRIGHT FUTURE PEDIATRICS, P.S.C.
Practice address
4885 Houston Rd Ste 101
Florence, KY 41042-4894
Phone
(859) 371-7400
Fax
(859) 371-8472
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Douglas Poon, MDNPI 1306824792
Title
President
Phone
(859) 371-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0200X

Addresses

Primary practice location

4885 Houston Rd Ste 101
Florence, KY 41042-4894

Mailing address

4885 Houston Rd Ste 101
Florence, KY 41042-4894
Phone (859) 371-7400

Other identifiers 1

IdentifierTypeStateIssuer
7100221020MedicaidKY

Other names 1

  • alexius m bishop, md psc Former legal business name

National Provider Directory

National Provider Directory

Locations

4885 Houston Rd
Ste 101
Florence, KY 41042
Phone (859) 371-7400

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1639280183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 HOUSTON RD STE 101",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424894",
            "telephone_number": "859-371-7400",
            "fax_number": "859-371-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 HOUSTON RD STE 101",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424894",
            "telephone_number": "859-371-7400",
            "fax_number": "859-371-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT FUTURE PEDIATRICS, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "POON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-371-7400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100221020",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "alexius m bishop, md psc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.