Provider Type Icon

BRIGHT HORIZONS PEDIATRICS PC NPI 1376735738


NPI Information

NPI: 1376735738
Provider Name: BRIGHT HORIZONS PEDIATRICS PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 03D1073081

Address:
14780 W MOUNTAIN VIEW BLVD
STE 201
SURPRISE, AZ
ZIP 85374
Phone: (623) 584-5250
Get Directions

BRIGHT HORIZONS PEDIATRICS PC is a pediatrics in Surprise, AZ. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. BRIGHT HORIZONS PEDIATRICS PC NPI is 1376735738. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14780 W MOUNTAIN VIEW BLVD
STE 201
SURPRISE, AZ
ZIP 85374-799
Phone: (623) 584-5250
Fax: (623) 584-4587

The provider's authorized official is Mario S. Borlongan .
The authorized official title is Owner/physician and has the following contact phone number (623) 584-5250.

The CLIA number assigned to this NPI record is 03D1073081 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2007 and was last updated on 3/21/2014.


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
1208000000XPediatrics31440ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G51826MEDICARE UPINARIZONA
2334950MEDICAIDARIZONA

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.