Healthcare Provider Details

I. General information

NPI: 1255592564
Provider Name (Legal Business Name): JAMES IVEY BRIGHT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2008
Last Update Date: 05/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 8TH AVE W
HENDERSONVILLE NC
28791-3604
US

IV. Provider business mailing address

418 8TH AVE W
HENDERSONVILLE NC
28791-3604
US

V. Phone/Fax

Practice location:
  • Phone: 828-692-5761
  • Fax: 828-692-5762
Mailing address:
  • Phone: 828-692-5761
  • Fax: 828-692-5762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number2858
License Number StateNC

VIII. Authorized Official

Name: DR. JAMES IVEY BRIGHT
Title or Position: NEUROPSYCHOLOGIST
Credential: PH.D.
Phone: 828-692-5761