OrganizationActive
Brightview LLC
NPI 1053064006 · Addiction Medicine (Internal Medicine) Physician · Clarkson, KY
Provider details
- NPI number
- 1053064006
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Brightview LLC
- Organization subpart
- Yes
- Authorized official
- Amy Nieman, Director(513) 544-1003
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
- Methadone Clinic261QM2800X
Ambulatory Health Care Facilities
Practice location
625 W Main St
Clarkson, KY 42726-7044
Phone: (833) 510-4357
Fax: (866) 460-2997
Approximate (ZIP-level) locationGet directions
Mailing address
4600 Montgomery Rd
Cincinnati, OH 45212-2697
Registry dates
- Enumerated
- 2022-01-31
- Last updated
- 2023-08-01
- Certified
- 2023-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.