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BRIGHT FUTURE PEDIATRICS NPI 1265052369


NPI Information

NPI: 1265052369
Provider Name: BRIGHT FUTURE PEDIATRICS
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 37D2190284

Address:
817 S ELM PL STE 106
BROKEN ARROW, OK
ZIP 74012
Phone: (918) 928-5437
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BRIGHT FUTURE PEDIATRICS is a clinic center in Broken Arrow, OK. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BRIGHT FUTURE PEDIATRICS NPI is 1265052369. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

817 S ELM PL STE 106
BROKEN ARROW, OK
ZIP 74012-369
Phone: (918) 928-5437
Fax: (918) 615-9352

The provider's authorized official is Jessica Dyer .
The authorized official title is Ceo and has the following contact phone number (918) 928-5437.

The CLIA number assigned to this NPI record is 37D2190284 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2020 and was last updated on 4/9/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2208000000XPediatricsNo
3261Q00000XClinic/CenterYes
4261QH0700XClinic/CenterHearing and SpeechNo
5261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
6261QM0850XClinic/CenterAdult Mental HealthNo
7261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
8261QM1300XClinic/CenterMulti-SpecialtyNo
9261QX0100XClinic/CenterOccupational MedicineNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.