DR. BRENT DOUGLAS WRIGHT MD NPI 1275657231

NPI Information

NPI: 1275657231
Provider Name: DR. BRENT DOUGLAS WRIGHT, MD
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

Organization: MENDOCINO COAST CLINICS, INC

PECOS Registration: Yes

Address:
205 SOUTH ST
FORT BRAGG, CA
ZIP 95437
Phone: (707) 964-1251
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DR. Brent Douglas Wright, MD is a gynecology obstetrics gynecology in Fort Bragg, CA with 29 years of experience. DR. Brent Douglas Wright, MD NPI is 1275657231. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduation Year:1995

The provider's business location address is:

205 SOUTH ST
FORT BRAGG, CA
ZIP 95437-540
Phone: (707) 964-1251
Fax: (707) 961-2722

The NPI 1275657231 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 8/29/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	A67482	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	FHC03967F	MEDICAID	CALIFORNIA
2	551813	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
3	EH816A	OTHER	CALIFORNIA	PTAN
4	G90641	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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