Organization Active NPI

Brightstart Pediatrics, LLC

  • Medically Fragile Infants and Children Day Care
  • Winter Garden, FL
National Provider Identifier
1982051736
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X
Legal business name
BRIGHTSTART PEDIATRICS, LLC
Doing business as
BrightStart Pediatrics
Practice address
1335 Winter Garden Vineland Rd
Suite 120
Winter Garden, FL 34787-4204
Phone
(407) 545-2773
Fax
(407) 545-2774
NPI assigned
May 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Authorized official

Name
Ms. Linda Brown
Title
President
Phone
(407) 461-2312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medically Fragile Infants and Children Day Care 261QM3000X Primary

Addresses

Primary practice location

1335 Winter Garden Vineland Rd
Suite 120
Winter Garden, FL 34787-4204

Mailing address

12377 S Orange Blossom TRL
Orlando, FL 32837-6215

Other names 1

  • BrightStart Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brightstart Pediatrics8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1982051736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12377 S ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 WINTER GARDEN VINELAND RD",
            "address_2": "SUITE 120",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874204",
            "telephone_number": "407-545-2773",
            "fax_number": "407-545-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSTART PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-461-2312",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStart Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.