Bright Kidney Care LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

BRIGHT KIDNEY CARE LLC

Practice address

2000 Hartman Rd Ste 2
Fort Pierce, FL 34947-4412

Phone

(772) 467-1117

Fax

(772) 595-9340

NPI assigned

Dec 5, 2018

Organization subpart

No

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

Authorized official

Name

Keisha Denise Greene

Title

VP of Clinical & Regulatory

Phone

(978) 522-3905

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1821568627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HARTMAN RD STE 2",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474412",
            "telephone_number": "772-467-1117",
            "fax_number": "772-595-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HARTMAN RD STE 2",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474412",
            "telephone_number": "772-467-1117",
            "fax_number": "772-595-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT KIDNEY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "VP OF CLINICAL & REGULATORY",
        "authorized_official_telephone_number": "978-522-3905"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian B. McKnight, M.D.
• Tisha L Bridge, PA-C
• Bridges Surgical Group LLC
• Peggy B Brigance, FNP
• Bright Dialysis LLC (Bright Dialysis)
• Brighten Bay FL LLC
• Brighter Care Adult Daycare Center LLC
• Jessica Lynn Brinkerhoff, MSW
• Melissa Brisard, RN
• Tracy Britcher-Speck, ARNP

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.