Provider Demographics
NPI:1235242454
Name:BRIGHT, JAMES E (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES E
Middle Name:
Last Name:BRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JAMES
Other - Middle Name:E
Other - Last Name:BRIGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1736 E SUNSHINE ST
Mailing Address - Street 2:STE 400
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-1343
Mailing Address - Country:US
Mailing Address - Phone:417-882-9002
Mailing Address - Fax:417-882-2616
Practice Address - Street 1:1736 E SUNSHINE ST
Practice Address - Street 2:STE 400
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-1343
Practice Address - Country:US
Practice Address - Phone:417-882-9002
Practice Address - Fax:417-882-2616
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO354752084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200049013Medicaid