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General NPI Number Information
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NPI Number | 1982845962
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Entity Type | Individual
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Provider Name | BENJAMIN MICHAEL WRIGHT MD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2009
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 1001 GAUSE BLVD BOX 4
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City | SLIDELL
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State | LA
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Zip | 70458-2939
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Country | US
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Telephone | 985-280-8742
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Fax |
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Provider Business Mailing Address
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Address Line | 2117 GIUFFRIAS AVE APT 20
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City | METAIRIE
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State | LA
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Zip | 70001-6625
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Country | US
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Telephone | 504-957-6967
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD204720
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD.20470
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD.204720
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License Number State | LA
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