Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRIGHTWELL HEALTH LLC
NPI 1215515408
Internal Medicine in Glen Burnie, MD

Q: What is Brightwell Health LLC's NPI number?

The NPI number for Brightwell Health LLC is 1215515408. It was assigned to this organization in the NPPES registry on March 30, 2021.

Q: What is Brightwell Health LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since March 30, 2021CLIA 21D2238173 · Waiver

7310 RITCHIE HWY STE 516, GLEN BURNIE, MD 21061(443) 221-2222(844) 708-1264 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2025, Sep 20, 2021, May 10, 2021 and 2 more (5 updates tracked since 2021).

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About Brightwell Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIGHTWELL HEALTH LLC (NPI 1215515408) is a healthcare organization registered as an internal medicine in Glen Burnie, Maryland and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Drew Fuller, Owner, as its authorized official.

NPPES Registry Identity

NPI1215515408

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameBRIGHTWELL HEALTH LLC

Location Address7310 RITCHIE HWY STE 516Glen Burnie, MD 21061-3099

Mailing Address7310 Ritchie Hwy Ste 516Glen Burnie, MD 21061-3099 · (844) 387-7469 · Fax (844) 708-1264

Phone(443) 221-2222

Fax(844) 708-1264

Organization SubpartNo

Authorized OfficialDrew FullerOwner · (443) 622-4317

Enumeration DateMarch 30, 2021

Last NPPES UpdateJune 26, 20265 updates tracked since enumeration

NPPES CertifiedJune 26, 2026

✔ NPI 1215515408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X

Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

7310 RITCHIE HWY STE 516, Glen Burnie, MD 21061

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2238173

Brightwell Health · Glen Burnie, MD

Active · expires Sep 30, 2027

CLIA Number21D2238173

Laboratory TypePhysician Office

Certificate Effective DateOctober 1, 2025

Certificate Expiration DateSeptember 30, 2027

Laboratory DirectorDr. Drew C. Fuller

Laboratory Phone(844) 387-7469

Laboratory LocationBrightwell Health7310 Ritchie Hwy #516, Glen Burnie, MD 21061

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHANNON LIEDQUIST TIEMAN CRNP

Nurse Practitioner (Psychiatric/Mental Health)