Healthcare Provider Details

I. General information

NPI: 1750246328
Provider Name (Legal Business Name): BROOKE NICOLE BRIGHT HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1323 HAMRIC DR E STE D
OXFORD AL
36203-1917
US

IV. Provider business mailing address

1323 HAMRIC DR E STE D
OXFORD AL
36203-1917
US

V. Phone/Fax

Practice location:
  • Phone: 256-835-8837
  • Fax:
Mailing address:
  • Phone: 256-835-8837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2390
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: