Provider Demographics
NPI:1114153285
Name:ULLRICH, BRIGITTE (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIGITTE
Middle Name:
Last Name:ULLRICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BRIGITTE
Other - Middle Name:
Other - Last Name:SCHMIDT-ULLRICH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:8715 HIGGINBOTHAM PL
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-7935
Mailing Address - Country:US
Mailing Address - Phone:804-282-2727
Mailing Address - Fax:
Practice Address - Street 1:8715 HIGGINBOTHAM PL
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-7935
Practice Address - Country:US
Practice Address - Phone:804-282-2727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-03
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA47589207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology