OrganizationActive
Brightview LLC
NPI 1710672019 · Addiction Medicine (Internal Medicine) Physician · Covington, KY
Provider details
- NPI number
- 1710672019
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Brightview LLC
- Organization subpart
- Yes
- Authorized official
- Amy Nieman, Dir of Credentialing & Enrollment(513) 834-7063
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Methadone Clinic261QM2800X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1612 Madison Ave
Covington, KY 41011-3318
Phone: (833) 510-4357
Fax: (513) 873-1567
Street-level locationGet directions
Mailing address
4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Registry dates
- Enumerated
- 2023-04-11
- Last updated
- 2023-04-11
- Certified
- 2023-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.