Organization Active NPI

Bright Health Inc.

  • Primary Care Clinic/Center
  • Deland, FL
National Provider Identifier
1942743455
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BRIGHT HEALTH INC.
Doing business as
Bright Health Inc.
Practice address
933 N Woodland Blvd
Deland, FL 32720-2734
Phone
(386) 624-6363
NPI assigned
Dec 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Authorized official

Name
Dr. Ismael Solis-Rivera, M.D.
Title
Primary Care/Ceo
Phone
(386) 624-6363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

933 N Woodland Blvd
Deland, FL 32720-2734

Mailing address

2285 Asbury Rd
Deltona, FL 32738-5075
Phone (850) 890-3228

Other identifiers 1

IdentifierTypeStateIssuer
004500200MedicaidFL

Other names 1

  • Bright Health Inc. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1942743455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 ASBURY RD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327385075",
            "telephone_number": "850-890-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 N WOODLAND BLVD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202734",
            "telephone_number": "386-624-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "SOLIS-RIVERA",
        "authorized_official_first_name": "ISMAEL",
        "authorized_official_title_or_position": "PRIMARY CARE/CEO",
        "authorized_official_telephone_number": "386-624-6363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004500200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Health Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.