Provider Demographics
NPI:1568423408
Name:WRIGHT, BRUCE A (MD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:A
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 FORT COUCH RD
Mailing Address - Street 2:SUITE G-200
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-1030
Mailing Address - Country:US
Mailing Address - Phone:412-347-0170
Mailing Address - Fax:412-347-0174
Practice Address - Street 1:110 FORT COUCH RD
Practice Address - Street 2:SUITE G-200
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-1030
Practice Address - Country:US
Practice Address - Phone:412-347-0170
Practice Address - Fax:412-347-0174
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD042480L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001282665Medicaid
PA704417OtherHIGHMARK BCBS
PA001282665Medicaid
F12177Medicare UPIN