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NPI Code Detail

MEDICARE: BRIGHTSIDE MEDICAL OF MICHIGAN PC

MEDICARE: BRIGHTSIDE MEDICAL OF MICHIGAN PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1972466431
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIGHTSIDE MEDICAL OF MICHIGAN PC
Provider Business Mailing Address
First Line : 2261 MARKET ST STE 10222
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94114-1612
Country : US
Telephone Number : 415-360-3348
Fax Number :
Provider Business Practice Location Address
First Line : 170 COMMERCE WAY STE 200
Second Line :
City : PORTSMOUTH
State : NH
Zip : 03801-3272
Country : US
Telephone Number : 415-360-3348
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JUSTIN BAILEY HUNT
Credential :
Telephone Number : 415-360-3348
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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Directions to “BRIGHTSIDE MEDICAL OF MICHIGAN PC ” Practice Location

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