BRIGHT FUTURE PEDIATRICS - NPI 1265052369 - Clinic/Center in Broken Arrow, OK

Q: What is Bright Future Pediatrics's NPI number?

The NPI number for Bright Future Pediatrics is 1265052369. It was assigned to this organization in the NPPES registry on April 20, 2020.

Q: What is Bright Future Pediatrics's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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About Bright Future Pediatrics NPPES

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

BRIGHT FUTURE PEDIATRICS (NPI 1265052369) is a healthcare organization registered as a clinic/center in Broken Arrow, Oklahoma and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through August 11, 2026 and lists Jessica Dyer, Ceo, as its authorized official.

NPPES Registry Identity

NPI1265052369

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameBRIGHT FUTURE PEDIATRICS

Location Address817 S ELM PL STE 106Broken Arrow, OK 74012-5369

Mailing Address817 S Elm Pl Ste 106Broken Arrow, OK 74012-5369 · (918) 928-5437 · Fax (918) 615-9352

Phone(918) 928-5437

Fax(918) 615-9352

Organization SubpartNo

Authorized OfficialJessica DyerCeo · (918) 928-5437

Enumeration DateApril 20, 2020

Last NPPES UpdateApril 9, 20243 updates tracked since enumeration

NPPES CertifiedApril 6, 2024

✔ NPI 1265052369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

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).

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedClinic/Center · Hearing and SpeechTaxonomy 261QH0700X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X

817 S ELM PL STE 106, Broken Arrow, OK 74012

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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 37D2190284

Bright Future Pediatrics · Tulsa, OK

Active · expires Aug 11, 2026

CLIA Number37D2190284

Laboratory TypePhysician Office

Certificate Effective DateAugust 12, 2024

Certificate Expiration DateAugust 11, 2026

Laboratory DirectorScott A. Street

Laboratory Phone(918) 928-5437

Laboratory LocationBright Future Pediatrics7711 E 11th Street, Suite 111, Tulsa, OK 74133

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 10

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

AMBER UN-HUI JOHNSON

Behavior Technician