NPIMap

Organization Active NPI

Brighter Dimensions, LLC

  • Community/Behavioral Health Agency
  • Broken Arrow, OK
National Provider Identifier
1881012409
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRIGHTER DIMENSIONS, LLC
Practice address
514 W Atlanta St
Broken Arrow, OK 74012-7004
Phone
(918) 280-9104
Fax
(918) 609-2850
NPI assigned
Apr 1, 2014
Last updated
May 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Authorized official

Name
Mr. David R Cordle Jr., MA.
Title
Executive Director
Phone
(918) 850-6503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

514 W Atlanta St
Broken Arrow, OK 74012-7004

Mailing address

514 W Atlanta St
Broken Arrow, OK 74012-7004
Phone (918) 280-9104

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241129000036 OK Part B Supplier - Clinic/Group Practice 3375078389 Receives reassigned benefits from 14 practitioners
Practice locations: Broken Arrow, OK

National Provider Directory

National Provider Directory

Locations

504 W Atlanta St
Broken Arrow, OK 74012
Phone (918) 615-6620

514 W Atlanta St
Broken Arrow, OK 74012
Phone (918) 280-9104

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1881012409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 W ATLANTA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127004",
            "telephone_number": "918-280-9104",
            "fax_number": "918-609-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W ATLANTA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127004",
            "telephone_number": "918-280-9104",
            "fax_number": "918-609-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER DIMENSIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "CORDLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "918-850-6503",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MA."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.