DR. WRIGHT C PENNIMAN D.O. NPI 1366441552

NPI Information

  • NPI: 1366441552
  • Provider Name: DR. WRIGHT C PENNIMAN, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 3601 SW 160TH AVE
    SUITE250
    MIRAMAR, FL
    ZIP 33027
  • Phone: (877) 866-7123

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NPI Details

DR. Wright C Penniman, D.O. is a family medicine in Miramar, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Wright C Penniman, D.O. NPI is 1366441552. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3601 SW 160TH AVE
SUITE250
MIRAMAR, FL
ZIP 33027-308
Phone: (877) 866-7123

The enumeration date for this NPI number is 7/19/2005 and was last updated on 8/19/2014.

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
1207Q00000XFamily Medicine00663SOUTH CAROLINANo
2207Q00000XFamily MedicineOS 12653FLORIDAYes

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
1080192652MEDICARE PINSOUTH CAROLINA
2H25168MEDICARE UPIN
3006638MEDICAIDSOUTH CAROLINA
4H251687366MEDICARE PINSOUTH CAROLINA
5H25168(7180)(7366)MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINA
6080192651MEDICARE PINSOUTH CAROLINA
7H251687180MEDICARE PINSOUTH CAROLINA

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: 11/21/2025

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