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Organization
BRIGHTWELL HEALTH LLC
Active
Organization
BRIGHTWELL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DREW FULLER MD (OWNER)
(443) 622-4317
Entity
Organization
Contact information
Practice address
300 HOSPITAL DR STE 223, GLEN BURNIE, MD 21061-5707
(443) 221-2222
Mailing address
7310 RITCHIE HWY STE 516, GLEN BURNIE, MD 21061-3099
(844) 387-7469
(844) 708-1264
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
NULL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
NULL
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
NULL
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/30/2021
Last updated
09/16/2026
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