Provider Demographics
NPI:1255527743
Name:WRIGHT, PATRICK BEAUMONT (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:BEAUMONT
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2500 N STATE ST
Mailing Address - Street 2:DEPARTMENT OF ORTHOPEDIC SURGERY AND REHABILITATION
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-4500
Mailing Address - Country:US
Mailing Address - Phone:601-984-6525
Mailing Address - Fax:601-815-1223
Practice Address - Street 1:2500 N STATE ST
Practice Address - Street 2:DEPARTMENT OF ORTHOPEDIC SURGERY AND REHABILITATION
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4500
Practice Address - Country:US
Practice Address - Phone:601-984-6525
Practice Address - Fax:601-815-1223
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS21446207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL131324Medicaid
LA2407210Medicaid
AL155209Medicaid
MS03331213Medicaid
MS302I205557Medicare PIN
AL131324Medicaid