Brightline Medical Associates of Kansas, Inc.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

BRIGHTLINE MEDICAL ASSOCIATES OF KANSAS, INC.

Practice address

400 Concar Dr
San Mateo, CA 94402-2681

Phone

(888) 224-7332

NPI assigned

Nov 16, 2021

Organization subpart

No

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

Authorized official

Name

Barrett Dwyer

Title

Chief Financial Officier

Phone

(888) 224-7332

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1821754615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CONCAR DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022681",
            "telephone_number": "888-224-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CONCAR DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022681",
            "telephone_number": "888-224-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTLINE MEDICAL ASSOCIATES OF KANSAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "BARRETT",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICIER",
        "authorized_official_telephone_number": "888-224-7332"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian D. Berger, MD, PA
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• Michael Leon Brigham, BA
• Laurinda Bright
• Brightline Medical Affiliates, PA
• Brightline Medical Associates of New Jersey, Inc.
• Brightline Medical Associates, Inc.
• Brightline Medical Associates, PA
• Brightline Medical Associates, PA
• Brightline, Inc.

• Adolescent and Children Mental Health Clinic/Center in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Adolescent and Children Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.