Bright Light Pediatrics, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BRIGHT LIGHT PEDIATRICS, PLLC

Practice address

601 E Sample Rd Ste 103
Pompano Beach, FL 33064-4443

Phone

(612) 643-0092

NPI assigned

Sep 14, 2018

Organization subpart

No

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

Authorized official

Name

Thesalee N Randon, MD

Title

Owner

Phone

(612) 643-0092

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1710460704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 668034",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330668034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E SAMPLE RD STE 103",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644443",
            "telephone_number": "612-643-0092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Sample Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330644443",
            "country_code": "US",
            "telephone_number": "404-550-0570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIGHT LIGHT PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "RANDON",
        "authorized_official_first_name": "THESALEE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-643-0092",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth F Breeding, OTR
• Heather Marie Brice
• Bridgepointe Assisted Living Facility LLC
• Bridgettes Healthcare LLC
• Chasity Briggs
• Jennifer Brighton
• Priya Brijmohan, M.S. ED., NCSP
• Barbara Lynn Brim
• Della Teresa Brisbon
• British Diagnostic Institute

• Pediatrics Physician in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.