Organization Active NPI

B. Cody Wright MD PC

  • Specialist
  • Flagstaff, AZ
National Provider Identifier
1386825339
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
33927 Issued in AZ
Legal business name
B. CODY WRIGHT MD PC
Practice address
121 E Birch Ave Ste 503
Flagstaff, AZ 86001-4621
Phone
(928) 213-5600
Fax
(928) 213-5999
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
B. Cody Wright, MDNPI 1194728451
Title
President
Phone
(928) 213-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 33927 AZ Primary

Addresses

Primary practice location

121 E Birch Ave Ste 503
Flagstaff, AZ 86001-4621

Mailing address

121 E Birch Ave Ste 503
Flagstaff, AZ 86001-4621
Phone (928) 213-5600

Other identifiers 1

IdentifierTypeStateIssuer
932435MedicaidAZ

National Provider Directory

National Provider Directory

Locations

121 E Birch Ave
#503
Flagstaff, AZ 86001
Phone (928) 213-5600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1386825339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E BIRCH AVE STE 503",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014621",
            "telephone_number": "928-213-5600",
            "fax_number": "928-213-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E BIRCH AVE STE 503",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014621",
            "telephone_number": "928-213-5600",
            "fax_number": "928-213-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B. CODY WRIGHT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "B.",
        "authorized_official_middle_name": "CODY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-213-5600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "33927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "932435",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.