Organization Active NPI

Bright Integrative Care

  • Psychiatry Physician
  • Glen Allen, VA
National Provider Identifier
1871373530
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BRIGHT INTEGRATIVE CARE
Practice address
11551 Nuckols Rd Ste P
Glen Allen, VA 23059-5565
Phone
(703) 582-6433
NPI assigned
Oct 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Authorized official

Name
Manjit Sangha, DNPNPI 1447661871
Title
Doctor of Nurse Practice
Phone
(703) 582-6433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

11551 Nuckols Rd Ste P
Glen Allen, VA 23059-5565

Mailing address

PO Box 2688
Glen Allen, VA 23058-2688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231205003501 VA Part B Supplier - Clinic/Group Practice 1759730583 Receives reassigned benefits from 3 practitioners
Practice locations: Glen Allen, VA

National Provider Directory

National Provider Directory

Locations

11551 Nuckols Rd
Ste P
Glen Allen, VA 23059
Phone (804) 593-5935

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1871373530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2688",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230582688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11551 NUCKOLS RD STE P",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595565",
            "telephone_number": "703-582-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT INTEGRATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "SANGHA",
        "authorized_official_first_name": "MANJIT",
        "authorized_official_title_or_position": "DOCTOR OF NURSE PRACTICE",
        "authorized_official_telephone_number": "703-582-6433",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.