OrganizationActive
Brightview, LLC
NPI 1225633589 · Addiction Medicine (Internal Medicine) Physician · Fairfield, OH
Provider details
- NPI number
- 1225633589
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Brightview LLC
- Organization subpart
- Yes
- Authorized official
- Amy Nieman, Director(833) 510-4357
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
- Methadone Clinic261QM2800X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
5108 Sandy Ln
Fairfield, OH 45014-2738
Phone: (513) 834-7063
Fax: (513) 873-1567
Approximate (ZIP-level) locationGet directions
Mailing address
4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Registry dates
- Enumerated
- 2020-12-03
- Last updated
- 2023-10-16
- Certified
- 2023-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.