BRIGHTVIEW LLC Full NPI Record 1578077509
Internal Medicine - Addiction Medicine in Lexington, KY

Complete NPI Dataset

The following table represents the complete NPI 1578077509 dataset for Brightview Llc in 340 LEGION DR STE 28 LEXINGTON, KY 40504. The data table includes a list of all field names, values and definitions of the complete NPI record. The NPI dataset is available for download in CSV format using the "Download NPI" button below at the end of the table.

Name Value Definition
NPI1578077509The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code2Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EINUNAVAILThe Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business NameBRIGHTVIEW LLCThe name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Mailing Address615 ELSINORE PL STE 200The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City NameCINCINNATIThe city name in the mailing address of the provider being identified.
Provider Business Mailing Address State NameOHThe State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code452021459The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S USThe country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number5138347063The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number5138731567The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address340 LEGION DR STE 28The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameLEXINGTONThe city name in the location address of the provider being identified.


Provider Business Practice Location Address State NameKYThe State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code405042716The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S USThe country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number8594753846The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date11/29/2017The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date12/28/2020The date that a record was last updated or changed.
Authorized Official Last NameSMITHThe last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameCHADThe first name of the authorized official.
Authorized Official Title or PositionCEOThe title or position of the authorized official.
Authorized Official Telephone Number5138347063The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1207RA0401XCode designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1Y
Healthcare Provider Taxonomy Code 22084P0800X
Healthcare Provider Primary Taxonomy Switch 2N
Is Organization SubpartY
Parent Organization LBNBRIGHTVIEW LLC
Parent Organization TINUNAVAIL
Healthcare Provider Taxonomy Group 1193400000X SINGLE SPECIALTY GROUP
Healthcare Provider Taxonomy Group 2193200000X MULTI-SPECIALTY GROUP
NPI Certification Date12/28/2020