BRIGHTVIEW LLC
NPI 1285307470
Internal Medicine - Addiction Medicine in Campbellsville, KY

NPI Status: Active since July 26, 2021

Contact Information

796 W BROADWAY ST
CAMPBELLSVILLE, KY
ZIP 42718
Phone: (513) 834-7063
Fax: (513) 873-1567

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  • Organization
  • Internal Medicine
  • Addiction Medicine
  • CLIA Number: 18D2226604
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-01-2027

About BRIGHTVIEW LLC

This page provides the complete NPI Profile along with additional information for Brightview Llc, an internist established in Campbellsville, Kentucky operating as a Internal Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1285307470 assigned on July 2021. The practitioner's primary taxonomy code is 207RA0401X. 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)

NPI
1285307470
Provider Name
BRIGHTVIEW LLC
Entity Type
Organization
Location Address
796 W BROADWAY ST CAMPBELLSVILLE, KY 42718
Location Phone
(513) 834-7063
Location Fax
(513) 873-1567
Mailing Address
4600 MONTGOMERY RD STE 400 CINCINNATI, OH 45212
Mailing Phone
(338) 510-4357
Mailing Fax
(513) 873-1567
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-26-2021
Last Update Date
11-07-2023
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An internist like Brightview Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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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

Internal Medicine Addiction Medicine

Taxonomy Code
207RA0401X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

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)
1261QM2800XAmbulatory Health Care Facilities

Clinic/Center
Methadone

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMY MARIE NIEMAN

Authorized Official Title
DIRECTOR
Authorized Official Phone
(833) 510-4357

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
18D2226604
Facility Type
Physician Office
Certificate Effective Date
June 02, 2025
Certificate Expiration Date
June 01, 2027
Laboratory Director
DR. DAVID ANDERSON
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.

Reviews for BRIGHTVIEW LLC

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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.
1285307470
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221656014414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 6 + 0 + 1 + 4 + 4 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1285307470 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508425844 ABBY CARTER
Individual
Nurse Practitioner (Family)796 W BROADWAY ST
CAMPBELLSVILLE, KY 42718
(270) 572-4933
1295492544FAST PACE KENTUCKY, PLLC
Organization
Clinic/Center (Rural Health)796 W BROADWAY ST
CAMPBELLSVILLE, KY 42718
(270) 572-4933
1306313549 JACQUELYN ESTELLE MOUSER APRN
Individual
Nurse Practitioner (Family)796 W BROADWAY ST
CAMPBELLSVILLE, KY 42718
(270) 572-4933

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285307470, enumerated in the NPI registry as an "organization" on July 26, 2021

The provider is located at 796 W Broadway St Campbellsville, Ky 42718 and the phone number is (513) 834-7063

This medical organization specializes in Internal Medicine with taxonomy code 207RA0401X with a focus in Addiction Medicine

The provider's CLIA number is 18D2226604 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on July 26, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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