Organization Active NPI

Bright Care Family Medicine Corp

  • Family Medicine Physician
  • Hallandale Beach, FL
National Provider Identifier
1659001741
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BRIGHT CARE FAMILY MEDICINE CORP
Practice address
2500 E Hallandale Beach Blvd Ste 505
Hallandale Beach, FL 33009-4838
Phone
(786) 733-1066
Fax
(786) 839-3258
NPI assigned
Jun 13, 2022
Last updated
Dec 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Dr. Dmitry Zhukovski, DONPI 1295728731
Title
Medical Director
Phone
(786) 733-1066

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2500 E Hallandale Beach Blvd Ste 505
Hallandale Beach, FL 33009-4838

Mailing address

2500 E Hallandale Beach Blvd Ste 505
Hallandale Beach, FL 33009-4838
Phone (786) 733-1066

Other identifiers 2

IdentifierTypeStateIssuer
113967000MedicaidFL
OS18656OtherFLDEPARTMENT OF HEALTH OSTEOPATHIC PHYSICIAN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221101002925 FL Part B Supplier - Clinic/Group Practice 9436526696 Receives reassigned benefits from 3 practitioners
Practice locations: Hallandale Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1659001741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD STE 505",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094838",
            "telephone_number": "786-733-1066",
            "fax_number": "786-839-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD STE 505",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094838",
            "telephone_number": "786-733-1066",
            "fax_number": "786-839-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT CARE FAMILY MEDICINE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "ZHUKOVSKI",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "786-733-1066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113967000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH OSTEOPATHIC PHYSICIAN LICENSE",
            "identifier": "OS18656",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.