BRIGHT OAKS PEDIATRIC CENTER, LLC
NPI 1912120916
Pediatrics in Bel Air, MD

Q: What is Bright Oaks Pediatric Center, LLC's NPI number?

The NPI number for Bright Oaks Pediatric Center, LLC is 1912120916. It was assigned to this organization in the NPPES registry on April 10, 2007.

Q: What is Bright Oaks Pediatric Center, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since April 10, 2007CLIA 21D0870731 · Waiver

2111 LAUREL BUSH RD STE H, BEL AIR, MD 21015(410) 569-3300(410) 515-2027 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bright Oaks Pediatric Center, Llc NPPES

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

BRIGHT OAKS PEDIATRIC CENTER, LLC (NPI 1912120916) is a healthcare organization registered as a pediatrics in Bel Air, Maryland and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through November 3, 2027 and lists Susan Wunderer, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1912120916

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameBRIGHT OAKS PEDIATRIC CENTER, LLC

Location Address2111 LAUREL BUSH RD STE HBel Air, MD 21015-6156

Mailing Address2111 Laurel Bush Rd Ste HBel Air, MD 21015-6156

Phone(410) 569-3300

Fax(410) 515-2027

Organization SubpartNo

Authorized OfficialSusan WundererPractice Administrator · (410) 569-3300

Enumeration DateApril 10, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1912120916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MD · D0045592

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2111 LAUREL BUSH RD STE H, Bel Air, MD 21015

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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

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 21D0870731

Bright Oaks Pediatric Center LLC · Bel Air, MD

Active · expires Nov 3, 2027

CLIA Number21D0870731

Laboratory TypePhysician Office

Certificate Effective DateNovember 4, 2025

Certificate Expiration DateNovember 3, 2027

Laboratory DirectorDavid Sulkowski

Laboratory Phone(410) 569-3300

Laboratory LocationBright Oaks Pediatric Center LLC2111 Laurel Bush Road Ste H, Bel Air, MD 21015

CLIA data matches this NPI record on: Address Name Phone

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

Other Providers at the Same Location NPPES

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

MRS. MEGHAN TERESE GRAHE CRNP

Nurse Practitioner (Pediatrics)

2111 LAUREL BUSH RD STE H
BEL AIR, MD 21015

Harford County (410) 569-3300

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 Oaks Pediatric Center, LLC's NPI number?

The NPI number for Bright Oaks Pediatric Center, LLC is 1912120916. It was assigned to this organization in the NPPES registry on April 10, 2007.

Where is Bright Oaks Pediatric Center, LLC located?

Bright Oaks Pediatric Center, LLC is located at 2111 Laurel Bush Rd Ste H, Bel Air, MD 21015. The listed phone number is (410) 569-3300.

What is Bright Oaks Pediatric Center, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Bright Oaks Pediatric Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0870731) is associated with this NPI, valid through November 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bright Oaks Pediatric Center, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.