Provider Demographics
NPI:1750374039
Name:ALBRIGHT, ROBERT E JR (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:ALBRIGHT
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:PO BOX 18
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45697-0018
Mailing Address - Country:US
Mailing Address - Phone:513-314-2845
Mailing Address - Fax:513-586-0123
Practice Address - Street 1:230 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:SEAMAN
Practice Address - State:OH
Practice Address - Zip Code:45679-8002
Practice Address - Country:US
Practice Address - Phone:937-386-3432
Practice Address - Fax:937-386-3569
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350600672084N0400X, 207RH0002X
IN01042624A2084N0400X
KY27396207RH0003X, 2084H0002X
OH35.060067207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No2084H0002XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00198640OtherMEDICARE RAILROAD
OH0791826Medicaid
KY64864770Medicaid
OH0791826Medicaid
OHP00198640OtherMEDICARE RAILROAD
OH0672959Medicare PIN
IN100357250Medicaid
OH0791826Medicaid
KY0625235Medicare PIN
KYK042850Medicare PIN