Bright Outstanding Stars, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

BRIGHT OUTSTANDING STARS, LLC

Practice address

1127 Azalea TRL
Elizabeth City, NC 27909-2721

Phone

(252) 340-1395

Fax

(252) 562-6312

NPI assigned

Aug 4, 2020

Last updated

Aug 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Taylor Gurganus

Title

Infant Toddler Family Specialist

Phone

(252) 340-1395

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1831709823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 AZALEA TRL",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279092721",
            "telephone_number": "252-340-1395",
            "fax_number": "252-562-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 AZALEA TRL",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279092721",
            "telephone_number": "252-340-1395",
            "fax_number": "252-562-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT OUTSTANDING STARS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "GURGANUS",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "INFANT TODDLER FAMILY SPECIALIST",
        "authorized_official_telephone_number": "252-340-1395"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karl Brandspigel, MD
• Michael J Bratton, PA-C
• Dalton Wright Bray, DPT
• Emily Nicole Brewer, LCMHCA
• Olivia Diane Bridges
• Brianna Bright, RBT
• Rhonda Jones Britton, FNP
• Josette Brookins
• Damaris Amber Brooks
• Merry Brooks

• Early Intervention Provider Agency in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Early Intervention Provider Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.