Brightpath Neurocare LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BRIGHTPATH NEUROCARE LLC

Practice address

3333 W Division St Unit 218-13
Saint Cloud, MN 56301-4515

Phone

(952) 261-3811

NPI assigned

Jun 19, 2025

Organization subpart

No

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

Authorized official

Name

Fadumo Abdi Hassan, BANPI 1134803927

Title

Owner

Phone

(952) 261-3811

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Fadumo Abdi Hassan

  • Day Training/Habilitation Specialist
  • Saint Cloud, MN
  • NPI 1134803927
  NPD Authorized official

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1962399337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 W DIVISION ST UNIT 218-13",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014515",
            "telephone_number": "952-261-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W DIVISION ST UNIT 218-13",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014515",
            "telephone_number": "952-261-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTPATH NEUROCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "FADUMO",
        "authorized_official_middle_name": "ABDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-261-3811",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Brewer, MD
• Juquatta Brewer
• Kristen D. Bricko, RD LD
• George Bridenstine, RN
• Bridge Healing Center LLC
• Alyssa Nicole Brimhall, PA-C
• Boe Brink
• Emily Magdeline Kieke Brinker, MS, OTR/L
• Eric Arnold Brinker
• Brittany Reinke LLC

• Clinic/Center in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.