Active NPI
Brighter Path Addiction Medicine, PLLC
- Addiction Medicine (Family Medicine) Physician
- Provo, UT
National Provider Identifier
1902430531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- Legal business name
- BRIGHTER PATH ADDICTION MEDICINE, PLLC
- Practice address
- 619 N 500 W
Provo, UT 84601-1547 - Phone
- (385) 204-2949
- Fax
- (385) 204-2949
- NPI assigned
- Feb 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Barry W King, MD
- Title
- Owner
- Phone
- (385) 292-8868
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | Primary | ||
| Obstetrics & Gynecology Physician | 207V00000X |
Addresses
Primary practice location
619 N 500 W
Provo, UT 84601-1547
Mailing address
273 E 4000 N
Provo, UT 84604-5030
Phone (970) 260-1901
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/21161/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614643200000",
"number": "1902430531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "273 E 4000 N",
"city": "PROVO",
"state": "UT",
"postal_code": "846045030",
"telephone_number": "970-260-1901",
"fax_number": "385-204-2949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 N 500 W",
"city": "PROVO",
"state": "UT",
"postal_code": "846011547",
"telephone_number": "385-204-2949",
"fax_number": "385-204-2949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHTER PATH ADDICTION MEDICINE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-21",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "385-292-8868",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.