Individual provider Active NPI

Timothy John Bright, D.O.

  • Family Medicine Physician
  • Johnstown, OH
National Provider Identifier
1760405393
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-003490B Issued in OH
Practice address
669 W Coshocton St
Johnstown, OH 43031-9580
Phone
(614) 627-2610
Fax
(614) 627-2614
NPI assigned
Jul 25, 2006
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34-003490B OH Primary

Addresses

Primary practice location

669 W Coshocton St
Johnstown, OH 43031-9580

Mailing address

669 W Coshocton St
Johnstown, OH 43031-9580
Phone (614) 627-2610

Other identifiers 2

IdentifierTypeStateIssuer
0518818MedicaidOH
BR0532341OtherOHMEDICARE PART B

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tbright1220278@direct.trinity-health.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34-003490BOHMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: tbright1220278@direct.trinity-health.org

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1760405393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 W COSHOCTON ST",
            "city": "JOHNSTOWN",
            "state": "OH",
            "postal_code": "430319580",
            "telephone_number": "614-627-2610",
            "fax_number": "614-627-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 W COSHOCTON ST",
            "city": "JOHNSTOWN",
            "state": "OH",
            "postal_code": "430319580",
            "telephone_number": "614-627-2610",
            "fax_number": "614-627-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHT",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-003490B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0518818",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "BR0532341",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbright1220278@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Mount Carmel Health Johnstown Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "669 W Coshocton St",
            "city": "Johnstown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430319580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.