Provider Demographics
NPI:1760455638
Name:BRIGHTER, JENNIFER (MD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:BRIGHTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-721-8205
Mailing Address - Fax:717-721-8251
Practice Address - Street 1:264 GRANITE RUN DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6804
Practice Address - Country:US
Practice Address - Phone:717-721-8205
Practice Address - Fax:717-721-8251
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABB9222047207Q00000X
PAMD426105207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101253577 0002Medicaid
PA20026765 - COLUMBIAOtherMERCY
PAPCP-000000168627OtherUNISON
PA1430425OtherCIGNA
PA2001753OtherKEYSTONE
PA2409995000OtherAMERIHEALTH
PA50049491OtherCAPITAL BLUE CROSS
PAGYN-ID# P006809OtherGATEWAY
PA20042838OtherMERCY
PA1744274OtherHIGHMARK BLUE SHIELD
PA101253577 0003Medicaid
PA30025201OtherKEYSTONE MERCY
PAOB-ID# 1546857OtherGATEWAY
PA090716Medicare ID - Type Unspecified
PA101253577 0002Medicaid