David Bruce Wright, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD013359 Issued in TN

Practice address

8066 Walnut Run Rd
Suite 200
Cordova, TN 38018-8841

Phone

(901) 751-9794

Fax

(901) 756-7010

NPI assigned

Jul 22, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 11, 2017 through Apr 11, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• David Wright LLC

  • Clinic/Center
  • Memphis, TN
  • NPI 1629567888
  NPD (past) Authorized official
• Cordova Internal Medicine, PLLC

  • Internal Medicine Physician
  • Cordova, TN
  • NPI 1558548040
  NPD (past)
• Internal Medicine Associates of Cordova, PLLC

  • Internal Medicine Physician
  • Cordova, TN
  • NPI 1306846217
  NPD (past)
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1942200779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380880670",
            "telephone_number": "901-751-9794",
            "fax_number": "901-756-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8066 WALNUT RUN RD",
            "address_2": "SUITE 200",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188841",
            "telephone_number": "901-751-9794",
            "fax_number": "901-756-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "DAVID",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD013359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD013359",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4177764",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wootton Family Chiropractic
• Jared M Wootton, DC
• Beverly Word, LPC-MHSP
• WR Community Services, LLC
• Porsha Wren
• Hannah Wright, PHARMD
• Jada Wright, OTR/L
• Monica L Wright, MD
• Tyisha Wright
• Wyatt L. Nichols, PH.D., PC

• Internal Medicine Physician in Cordova, TN
• Providers in Cordova, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.