# BRIGHT PATH MEDICAL CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588465736
- **Authorized official:** DORINE HAYNES (OWNER)
- **Authorized official phone:** (702) 412-9077

## Contact information

- **Practice address:** 2715 BRIARCLIFF AVE, HENDERSON, NV 89074-1210
- **Practice address phone:** (702) 412-9077
- **Mailing address:** 2715 BRIARCLIFF AVE, HENDERSON, NV 89074-1210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/24/2025
- **Last updated:** 03/24/2025