Healthcare Provider Details

I. General information

NPI: 1750294179
Provider Name (Legal Business Name): BRIANDA BRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 N FRONT ST # 118
WILMINGTON NC
28401-3920
US

IV. Provider business mailing address

226 N FRONT ST # 118
WILMINGTON NC
28401-3920
US

V. Phone/Fax

Practice location:
  • Phone: 910-518-9837
  • Fax: 910-809-4157
Mailing address:
  • Phone: 910-518-9837
  • Fax: 910-809-4157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP024384
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: