Provider Demographics
NPI:1922139047
Name:WRIGHT, BRENDAN BARRY (DC)
Entity Type:Individual
Prefix:DR
First Name:BRENDAN
Middle Name:BARRY
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7016 CHURCH ST E
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-3270
Mailing Address - Country:US
Mailing Address - Phone:615-373-0608
Mailing Address - Fax:615-373-9866
Practice Address - Street 1:7016 CHURCH ST E
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-3270
Practice Address - Country:US
Practice Address - Phone:615-373-0608
Practice Address - Fax:615-373-9866
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1229111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3013769OtherBLUE CROSS BLUE SHIELD ID
TN629555OtherUNITED HEALTHCARE ID
TN3677951Medicare ID - Type Unspecified