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NPI Code Detail

MEDICARE: BRIGHTSIDE HEALTH, INC.

MEDICARE: BRIGHTSIDE HEALTH, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1225912892
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIGHTSIDE HEALTH, INC.
Provider Business Mailing Address
First Line : 2261 MARKET ST STE 10222
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94114-1612
Country : US
Telephone Number : 415-360-3348
Fax Number :
Provider Business Practice Location Address
First Line : 6312 S FIDDLERS GREEN CIR STE 300
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-4943
Country : US
Telephone Number : 415-360-3348
Fax Number :
Authorized Official
Title or Position : CEO
Name : BRAD KITTREDGE
Credential :
Telephone Number : 415-360-3348
Provider Enumeration Date : 08/05/2025
Last Update Date : 08/05/2025

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