BRIGHTWATER LANDING PROF – NPI #1699129791
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

BRIGHTWATER LANDING PROF is a provider located in WRIGHTSVILLE, PA. NPPES has assigned the NPI number 1699129791 to BRIGHTWATER LANDING PROF on April 15, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BRIGHTWATER LANDING PROF” is a dba name, the actual legal business name for this organization is WRIGHTSVILLE SERVICES, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RA0401X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Addiction Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRIGHTWATER LANDING PROF below.

NPI Profile for
WRIGHTSVILLE SERVICES, LLC

NPI Number
1699129791
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WRIGHTSVILLE SERVICES, LLC
Doing Business As (dba): BRIGHTWATER LANDING PROF
Primary location
1166 HILTS RD
WRIGHTSVILLE, PA 17368-9205
Phone: (717) 216-0509 Fax:
Mailing address
PO BOX 670521
DALLAS, TX 75267-0521
Phone: (615) 567-7256 Fax:
Organization Subpart
Yes - BRIGHTWATER LANDING PROF is subpart of another organization.
Authorized Official
CHERYL MAPLESDEN
DIRECTOR, REVENUE CYCLE
Phone: (615) 510-3708
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RA0401X
- Internal Medicine / Addiction Medicine (Primary)		 PA OS-007771-L
2084P0800X
- Psychiatry & Neurology / Psychiatry		 PA MD072422L

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.