BRIGHTVIEW LLC NPI 1417643669

NPI Information

  • NPI: 1417643669
  • Provider Name: BRIGHTVIEW LLC
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • CLIA Number: 18D2271172
  • Address: 3889 N MAYO TRL STE 200&300
    PIKEVILLE, KY
    ZIP 41501
  • Phone: (833) 510-4357

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NPI Details

BRIGHTVIEW LLC is an addiction medicine family medicine in Pikeville, KY. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. BRIGHTVIEW LLC NPI is 1417643669. The provider is registered as an organization entity type.

The provider's business location address is:

3889 N MAYO TRL STE 200&300
PIKEVILLE, KY
ZIP 41501-213
Phone: (833) 510-4357
Fax: (513) 873-1567

The provider's authorized official is Amy Marie Nieman .
The authorized official title is Director Of Credentialing and has the following contact phone number (513) 834-7063.

The CLIA number assigned to this NPI record is 18D2271172 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2023 and was last updated on 4/12/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2800XClinic/CenterMethadoneNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
3207QA0401XFamily MedicineAddiction MedicineYes

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: 11/21/2025

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