Provider Demographics
NPI:1851624076
Name:DOUGLAS D. BRIGHT, D.C., P.C.
Entity Type:Organization
Organization Name:DOUGLAS D. BRIGHT, D.C., P.C.
Other - Org Name:BRIGHT CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:BRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-332-4150
Mailing Address - Street 1:2215 S CURRY PIKE
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47403-3170
Mailing Address - Country:US
Mailing Address - Phone:812-332-4150
Mailing Address - Fax:
Practice Address - Street 1:2215 S CURRY PIKE
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47403-3170
Practice Address - Country:US
Practice Address - Phone:812-332-4150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty