Provider Demographics
NPI:1124099205
Name:WRIGHT, THOMAS WHITTEN JR (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:WHITTEN
Last Name:WRIGHT
Suffix:JR
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 1:930 FRANKLIN ST SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4312
Mailing Address - Country:US
Mailing Address - Phone:256-539-4080
Mailing Address - Fax:256-539-4099
Practice Address - Street 1:930 FRANKLIN ST SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4312
Practice Address - Country:US
Practice Address - Phone:256-539-4080
Practice Address - Fax:256-539-4099
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL09462207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL111432Medicaid
AL515-99681OtherBCBS
AL510-49305OtherBCBS
AL510-49306OtherBCBS
AL000031069Medicaid
AL111436Medicaid
AL51031069OtherBCBS
TN0083061OtherBCBS
AL111431Medicaid
AL515-99677OtherBCBS
AL111445Medicaid
AL510-49307OtherBCBS
AL515-99680OtherBCBS
25-10178OtherUNITED HEALTHCARE
060037250OtherRAILROAD MEDICARE
AL111438Medicaid
AL111441Medicaid
4036892OtherAETNA
AL515-99680OtherBCBS
C71825Medicare UPIN
AL111441Medicaid
TN3807686Medicare PIN