Healthcare Provider Details

I. General information

NPI: 1003723370
Provider Name (Legal Business Name): BRIGHTSIDE MEDICAL SUPPLIES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4145 E MAIN ST
WHITEHALL OH
43213-2951
US

IV. Provider business mailing address

4145 E MAIN ST
WHITEHALL OH
43213-2951
US

V. Phone/Fax

Practice location:
  • Phone: 614-687-7814
  • Fax:
Mailing address:
  • Phone: 614-687-7814
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ADNAN BASHIR
Title or Position: OWNER
Credential:
Phone: 614-687-7814