Provider Demographics
NPI:1477667327
Name:ALLBRIGHT, ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:ALLBRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ROBERT
Other - Middle Name:M
Other - Last Name:ALLBRIGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2500 N STATE ST
Mailing Address - Street 2:UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, RADIATION ONC
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-4500
Mailing Address - Country:US
Mailing Address - Phone:212-746-3141
Mailing Address - Fax:601-815-6876
Practice Address - Street 1:350 W WOODROW WILSON AVE
Practice Address - Street 2:SUITE 1600
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39213-7681
Practice Address - Country:US
Practice Address - Phone:601-815-6886
Practice Address - Fax:601-815-6876
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2019462085R0001X
MS213482085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01824840Medicaid
NYG70049Medicare UPIN
MS302I922003Medicare UPIN
NY01824840Medicaid
MS302I928814Medicare PIN