DR. BRENT DOUGLAS WRIGHT (NPI# 1275657231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275657231 |
| Entity Type | Individual |
| Full Name | DR. BRENT DOUGLAS WRIGHT |
| Credential | MD |
| Practice Address |
205 South St Fort Bragg CA 95437-5540 |
| Practice Telephone | 7079641251 |
| Practice Fax Number | 7079612722 |
| Mailing Telephone | 7079641251 |
| Mailing Fax Number | 7079612722 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2012-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
A67482 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC03967F | 05 | |
| CA | PTAN | EH816A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992704712 | Brent D Wright | Obstetrics & Gynecology | 584 Hospital Dr Ne, Suite B, Bolivia, NC 28422-0019 | 2005-07-14 |
| Street Address |
205 SOUTH ST |
| City | FORT BRAGG |
| State | CA |
| Zip Code | 95437-5540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508861782 | Wade Joseph Gray | Family Medicine | 205 South St, Fort Bragg, CA 95437-5540 | 2005-06-15 |
| 1477046027 | Roy Campbell | Dental Hygienist | 205 South St, Fort Bragg, CA 95437-5540 | 2018-06-08 |
| 1457861783 | Andrea Masters | Nurse Practitioner | 205 South St, Fort Bragg, CA 95437-5540 | 2017-09-29 |
| 1437501566 | Jae Do Kim | Dentist | 205 South St, Fort Bragg, CA 95437-5540 | 2016-07-13 |
| 1558790774 | Nadege Nerette | Physician Assistant | 205 South St, Fort Bragg, CA 95437-5540 | 2013-11-07 |
| 1932532272 | Svetlana Romanovna Mulcahy | Nurse Practitioner | 205 South St, Fort Bragg, CA 95437-5540 | 2013-08-09 |
| 1013257831 | Kimberly Jill Celeri | Dental Hygienist | 205 South St, Fort Bragg, CA 95437-5540 | 2013-02-15 |
| 1821340480 | Genevieve Marilyn Gonzalez | Counselor | 205 South St, Fort Bragg, CA 95437 | 2012-10-08 |
| 1447500988 | Ted Michael Aames | Counselor | 205 South St, Fort Bragg, CA 95437-5540 | 2012-09-12 |
| 1740587229 | Wendy J Carvajal | Dentist | 205 South St, Fort Bragg, CA 95437-5540 | 2011-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902357437 | Mendocino Coast Hospitality Center | Community/Behavioral Health | 137 E. Oak Street, Fort Bragg, CA 95437 | 2016-10-19 |
| 1144604570 | Erin Paul | Community Health Worker | 474 South Franklin Street, Fort Bragg, CA 95437 | 2015-07-15 |
| 1508125790 | Joel Macgregor Green | Marriage & Family Therapist | 331- G Redwood Ave., Fort Bragg, CA 95437 | 2012-05-09 |
| 1013244102 | Jenna Glasscock | Counselor | 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 | 2009-11-10 |
| 1770819641 | Patrick Lenaghan | Emergency Medicine | 707 River Dr, Fort Bragg, CA 95437 | 2009-10-27 |
| 1043455827 | M. Lee Baker | Dentist | 890 River Dr, Fort Bragg, CA 95437 | 2008-12-09 |
| 1528250495 | Christine Anne Samas | Social Worker | 656a Harrison St., Fort Bragg, CA 95437 | 2007-08-15 |
| 1083822811 | Katharine L. White | Marriage & Family Therapist | 137 E Oak Street, Fort Bragg, CA 95437 | 2007-05-17 |
| 1053525873 | Marty Christine Johnson | Marriage & Family Therapist | 331 E. Redwood Ave, Fort Bragg, CA 95437 | 2007-05-10 |
| 1528114741 | Kate Teresa Donohue | Psychologist | 19201 Noyo Acres Dr, Fort Bragg, CA 95437 | 2007-01-29 |
| Find all providers in zip 95437 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851473177 | Keevan Abramson | Obstetrics & Gynecology | 850 Sequoia Circle, Fort Bragg, CA 95437 | 2006-10-19 |
| 1710017371 | Womens Health Center | Obstetrics & Gynecology | 850 Sequoia Cir, Fort Bragg, CA 95437-5490 | 2007-03-06 |
| 1114080611 | Eric I Gutnick | Obstetrics & Gynecology | 850 Sequoia Circle, Fort Bragg, CA 95437 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526862 | My Optimal Life | Obstetrics & Gynecology | 72301 Country Club Dr Ste 105, Rancho Mirage, CA 92270-8007 | 2020-07-28 |
| 1740833078 | Lillian Shumate Md | Obstetrics & Gynecology | 1401 Spanos Ct Ste 124, Modesto, CA 95355-2814 | 2019-07-16 |
| 1568927754 | J Kingsley Fife | Obstetrics & Gynecology | 1165 Las Pulgas Pl, Pacific Palisades, CA 90272-2440 | 2019-02-01 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1396253340 | Yasharpour Medical Doctor, Inc A Professional Medical Corporation | Obstetrics & Gynecology | 21013 Sherman Way Ste 4, Canoga Park, CA 91303-3675 | 2018-01-11 |
| 1851828222 | Desert Valley Obgyn Inc | Obstetrics & Gynecology | 39000 Bob Hope Dr Ste 303, Rancho Mirage, CA 92270-3221 | 2017-05-17 |
| 1295274660 | Koe Medical Consulting, Inc. | Obstetrics & Gynecology | 5680 Trinidad Way, San Diego, CA 92114-5310 | 2017-02-18 |
| 1518404441 | Women's Health Care Research Corporation | Obstetrics & Gynecology | 3750 Convoy St Ste 311, San Diego, CA 92111-3741 | 2017-01-30 |
| 1730626722 | Aela Paiz Do Inc | Obstetrics & Gynecology | 9620 Clybourn Ave, Sun Valley, CA 91352-1623 | 2017-01-27 |
| 1538521125 | Randal Sloop Md Inc | Obstetrics & Gynecology | 2068 Talbert Dr Ste 150, Chico, CA 95928-7723 | 2016-03-23 |
| Find all providers with the same taxonomy | ||||
| City | FORT BRAGG |
| Zip Code | 95437 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.