Active NPI
Bright Chukwemeka Igwe
- Addiction (Substance Use Disorder) Counselor
- Raleigh, NC
National Provider Identifier
1831716703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 26405
- Practice address
- 4909 Waters Edge Drive Suite 203
4909 Waters Edge Dr. Suite 203,
Raleigh, NC 27606 - Phone
- (919) 247-2312
- NPI assigned
- Jun 26, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 26405 | NC | Primary |
Addresses
Primary practice location
4909 Waters Edge Drive Suite 203
4909 Waters Edge Dr. Suite 203,
Raleigh, NC 27606
Mailing address
4909 Waters Edge Drive Suite 203
4909 Waters Edge Dr. Suite 203
Raleigh, NC 27606
Phone (919) 247-2312
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26405 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593129600000",
"number": "1831716703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4909 WATERS EDGE DRIVE SUITE 203",
"address_2": "4909 WATERS EDGE DR. SUITE 203",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27606",
"telephone_number": "919-247-2312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4909 WATERS EDGE DRIVE SUITE 203",
"address_2": "4909 WATERS EDGE DR. SUITE 203,",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27606",
"telephone_number": "919-247-2312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGWE",
"first_name": "BRIGHT",
"middle_name": "CHUKWEMEKA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-26",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "26405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.