BRIGHTVIEW LLC
NPI 1417643669
Family Medicine - Addiction Medicine in Pikeville, KY
NPI Status: Active since April 12, 2023
Contact Information
3889 N MAYO TRL STE 200&300
PIKEVILLE, KY
ZIP 41501
Phone: (833) 510-4357
Fax: (513) 873-1567
- Organization
- Family Medicine
- Addiction Medicine
- CLIA Number: 18D2271172
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-27-2026
About BRIGHTVIEW LLC
This page provides the complete NPI Profile along with additional information for Brightview Llc, a provider established in Pikeville, Kentucky operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1417643669 assigned on April 2023. The practitioner's primary taxonomy code is 207QA0401X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Amy Marie Nieman (Director Of Credentialing)
- NPI
- 1417643669
- Provider Name
- BRIGHTVIEW LLC
- Entity Type
- Organization
- Location Address
- 3889 N MAYO TRL STE 200&300 PIKEVILLE, KY 41501
- Location Phone
- (833) 510-4357
- Location Fax
- (513) 873-1567
- Mailing Address
- 4600 MONTGOMERY RD CINCINNATI, OH 45212
- Mailing Phone
- (513) 834-7063
- Mailing Fax
- (513) 873-1567
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-12-2023
- Last Update Date
- 04-12-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine Addiction Medicine
- Taxonomy Code
- 207QA0401X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A family medicine physician who specializes in the diagnosis and treatment of addictions.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM2800X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 18D2271172
- Facility Type
- Physician Office
- Certificate Effective Date
- October 28, 2024
- Certificate Expiration Date
- October 27, 2026
- Laboratory Director
- DR. PAUL MAYNARD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Brightview Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 1 | 7 | 6 | 4 | 3 | 6 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 12 | 4 | 6 | 6 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 1 + 2 + 4 + 6 + 6 + 1 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1417643669 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417643669, enumerated as an "organization" on April 12, 2023.
The provider is located at 3889 N MAYO TRL STE 200&300 PIKEVILLE, KY 41501 and the phone number is (833) 510-4357.
Family Medicine with taxonomy code 207QA0401X and a focus in Addiction Medicine.
