Provider Demographics
NPI:1710055140
Name:BRIGHT, DAVID ELLIOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ELLIOTT
Last Name:BRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2607 THORNBIRD PL
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-2496
Mailing Address - Country:US
Mailing Address - Phone:772-285-8215
Mailing Address - Fax:
Practice Address - Street 1:2607 THORNBIRD PL
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-2496
Practice Address - Country:US
Practice Address - Phone:772-285-8215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFLME0035746207PE0005X, 207Q00000X
CO45929207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO45929OtherSTATE LICENSE
FLFLME0035746OtherLICENSE
CO45929OtherSTATE LICENSE