MEDICARE: JOHN BRIGHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	146N00000X	Basic Emergency Medical Technician	E3895422	MI
2	207PE0005X	Undersea and Hyperbaric Medicine (Emergency Medicine) Physician	3086	MI

General Provider Information

NPI Number	:	1720882061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN BRIGHT

Provider Business Mailing Address
First Line	:	223 S 7TH AVE
Second Line	:
City	:	ALPENA
State	:	MI
Zip	:	49707-2586
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	223 S 7TH AVE
Second Line	:
City	:	ALPENA
State	:	MI
Zip	:	49707-2586
Country	:	US
Telephone Number	:	305-393-4652
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2025
Last Update Date	:	05/02/2025

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Directions to “ JOHN BRIGHT ” Practice Location

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