Join the Bright HealthCare Network

Please use the contact form below to let us know more about your primary practice location.

Group Legal Entity Name

Practice Website

Business Phone

Fax

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Practice NPI (10 digits)

Tax ID (9 digits)

Preferred Contact First Name

Preferred Contact Last Name

Preferred Contact Email

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Any additional questions or comments?

* Where’s my state? Thank you for your interest in Bright HealthCare. If your state is not listed, Bright HealthCare is not accepting applications in your area at this time. Please feel free to check back with us in the future.

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