Individual
MR. BENJAMIN JOHN BRIGHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
143 NASHVILLE COMMONS DR, NASHVILLE, NC 27856-1823
(252) 459-5565
(252) 459-5568
Mailing address
PO BOX 7594, ROCKY MOUNT, NC 27804-0594
(252) 443-9103
(252) 451-9032
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5333
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136KY
BCBS NC
NC
05
—
7301714
—
NC
Enumeration date
06/14/2007
Last updated
08/03/2011
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