NPI 1265211221 · live from the CMS NPI Registry
Brightside Services
Clinic/Center, Multi-Specialty in Holladay, UT. National Provider Identifier 1265211221, active.
NPI record
| NPI | 1265211221 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Multi-Specialty 261QM1300X |
| Practice location | 4227 S Highland Dr Ste 7, Holladay, UT 84124 |
| Practice phone | 435-200-9965 |
| Enumerated | September 27, 2023 |
| Last updated | September 10, 2025 |
| Authorized official | Cody Walker, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Clinic Pharmacy | 3336C0002X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
| Clinic/Center, Multi-Specialty primary | 261QM1300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.