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BRIGHT STAR PEDIATRIC AND ADOLECENT CENTER
NPI 1629445846
Nurse Practitioner - Pediatrics in Freeport, FL

Active since August 24, 2015
75 BAY GROVE BLVD, FREEPORT, FL 32439(850) 374-2311 Get Directions Write a Review

NPPES record last updated: August 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bright Star Pediatric And Adolecent Center NPPES

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

BRIGHT STAR PEDIATRIC AND ADOLECENT CENTER (NPI 1629445846) is a healthcare organization registered as a pediatrics in Freeport, Florida and active in the NPI registry since August 2015. The organization lists Linda Idean Rich, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1629445846
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameBRIGHT STAR PEDIATRIC AND ADOLECENT CENTER
Location Address75 BAY GROVE BLVDFreeport, FL 32439-1725
Mailing AddressPo Box 1132Freeport, FL 32439-1132 · (850) 374-2311
Phone(850) 374-2311
Organization SubpartNo
Authorized OfficialLinda Idean RichNurse Practitioner · (850) 374-2311
Enumeration DateAugust 24, 2015
✔ NPI 1629445846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in FL · 2080412
75 BAY GROVE BLVD, Freeport, FL 32439
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Other Identifiers 1

Medicaid003-331-800FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

PREVAIL BEHAVIORAL HEALTH
Behavior Analyst
75 BAY GROVE BLVD
FREEPORT, FL 32439
Walton County (954) 632-2835
KELLY ERIN WILLIAMS
Behavior Technician
75 BAY GROVE BLVD
FREEPORT, FL 32439
Walton County (954) 632-2835

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bright Star Pediatric And Adolecent Center's NPI number?

The NPI number for Bright Star Pediatric And Adolecent Center is 1629445846. It was assigned to this organization in the NPPES registry on August 24, 2015.

Where is Bright Star Pediatric And Adolecent Center located?

Bright Star Pediatric And Adolecent Center is located at 75 Bay Grove Blvd, Freeport, FL 32439. The listed phone number is (850) 374-2311.

What is Bright Star Pediatric And Adolecent Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Bright Star Pediatric And Adolecent Center was last updated on August 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.