Provider Demographics
NPI:1699980011
Name:BRIGHTON SLEEP CENTER
Entity type:Organization
Organization Name:BRIGHTON SLEEP CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:D
Authorized Official - Last Name:CAST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-492-4574
Mailing Address - Street 1:2660 SIERRA DRIVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80917-4033
Mailing Address - Country:US
Mailing Address - Phone:303-395-5548
Mailing Address - Fax:303-395-5549
Practice Address - Street 1:195 TELLURIDE ST
Practice Address - Street 2:SUITE 4
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-4357
Practice Address - Country:US
Practice Address - Phone:303-395-5548
Practice Address - Fax:303-395-5549
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLORADO SLEEP COMPANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-11
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic