Brightview LLC
Organization Active NPI Addiction Medicine (Internal Medicine) Physician · Glasgow, KY
NPI 1710550512 · NPPES record last updated May 6, 2024
Key facts
- NPI
- 1710550512
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction Medicine (Internal Medicine) Physician 207RA0401X
- Legal business name
- BRIGHTVIEW LLC
- Practice address
- 621 Happy Valley Rd
Glasgow, KY 42141-1541 - Phone
- (513) 834-7063
- Fax
- (513) 873-1567
- NPI assigned
- Jul 20, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- BRIGHTVIEW LLC
Authorized official
- Name
- Amy Marie Nieman
- Title
- Director
- Phone
- (833) 510-4357
Corporate family (same tax ID) 27
National Provider Directory
- Tax ID family
- Brightview LLC
- Part of
- Brightview LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician |
207RA0401X | Yes | ||
| Methadone Clinic | 261QM2800X |
Addresses
Primary practice location
621 Happy Valley Rd
Glasgow, KY 42141-1541
Mailing address
4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (513) 834-7063
Other names
- Brightview
Other providers in Glasgow, KY
- Mary Lauretta Branstetter
- Regina Branum
- Leticia Bravo
- Orlando Bravo
- Amy Brickler
- Annette Michelle Brooks
- Hazel Lynnette Brooks
- Amanda Brooke Brown
- Cameron Anne Brown
- Leslie Megan Brown
All providers in Glasgow, KY · Addiction Medicine (Internal Medicine) Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.