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1568222735 NPI number — BARIGHT SURGERY PLLC

NPI Number: 1568222735
Health Care Provider/Practitioner: BARIGHT SURGERY PLLC

Information about “1568222735” NPI (BARIGHT SURGERY PLLC) exists in 1568222735 in HTML format HTML  |  1568222735 in plain Text format TXT  |  1568222735 in PDF (Portable Document Format) PDF  |  1568222735 in an XML format XML  formats.

NPI Number : 1568222735 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568222735",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BARIGHT SURGERY PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5801 BRUSHY MEADOWS DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FUQUAY-VARINA",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27526-5504",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "608-475-3954",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3335 S CRATER RD STE 700",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PETERSBURG",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23805-9396",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "804-765-5445",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/22/2024",
    "LastUpdateDate": "03/22/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BARIGHT",
    "AuthorizedOfficialFirstName": "AMANDA",
    "AuthorizedOfficialMiddleName": "MARIE",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DO",
    "AuthorizedOfficialTelephoneNumber": "608-475-3954",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208600000X",
        "TaxonomyName": "Surgery Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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