Individual provider Active NPI

Bennie B Wright, M.D.

  • Surgery Physician
  • Cleveland, MS
National Provider Identifier
1992857106
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
08829 Issued in MS
Practice address
810 E Sunflower Rd
Suite 100a
Cleveland, MS 38732-2800
Phone
(662) 846-6015
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 08829 MS Primary

Addresses

Primary practice location

810 E Sunflower Rd
Suite 100a
Cleveland, MS 38732-2800

Mailing address

810 E Sunflower Rd
Suite 100a
Cleveland, MS 38732-2800
Phone (662) 846-6015

Other identifiers 1

IdentifierTypeStateIssuer
00115711MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031205000494 MS Practitioner - General SurgeryPractitioner - Thoracic Surgery 4486559622 Reassigns benefits to 3 organizations
Practice locations: Cleveland, MS

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Thoracic Surgery
Education
University of Mississippi School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bolivar Physician Practices LLCGroup PAC ID 6305995895, 17 clinicians
North Sunflower Medical CenterGroup PAC ID 7618932294, shared by 11 NPIs, 46 clinicians

Practice addresses (Care Compare)

810 E Sunflower Rd
Suite 100 a
Cleveland, MS 38732-2828
Phone (662) 843-3606

840 N Oak Ave
Ruleville, MS 38771-3227
Phone (601) 756-2711

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy126
Hernia repair - groin (open)1-10
Pacemaker insertion or repair1-10
Upper gastrointestinal (GI) endoscopy for acid reflux58
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
08829MSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Sunflower Medical Center CurrentSince Aug 1, 2008 Accepting new patients
North Sunflower Medical Center CurrentSince Aug 1, 2008 Accepting new patients
Bolivar Physician Practices LLC CurrentSince Sep 1, 2019 Accepting new patients
Bolivar Physician Practices LLC CurrentSince Sep 1, 2019 Accepting new patients
North Sunflower Medical Center Current Accepting new patients
North Sunflower Medical Center CurrentSince Aug 1, 2008 Accepting new patients
Radiology Services P a PastSince Mar 1, 2010 Accepting new patients

Locations

810 E Sunflower Rd
Ste 100A
Cleveland, MS 38732
Phone (662) 579-0118

907 E Sunflower Rd
Ste 102
Cleveland, MS 38732
Phone (662) 545-4443

810 E Sunflower Rd
Ste 100B
Cleveland, MS 38732
Phone (662) 579-3484

840 N Oak Ave
Ruleville, MS 38771
Phone (601) 756-2711

202 S Ruby Ave
Ruleville, MS 38771
Phone (662) 756-2500

Interoperability endpoints

  • Direct secure messaging: benniewright@nsfmc.allscriptsdirect.net
  • Direct secure messaging: wright_bennie_b_md@yourcarecommunity.org
  • Direct secure messaging: bennie.wright.1@10381.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1992857106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E SUNFLOWER RD",
            "address_2": "SUITE 100A",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322800",
            "telephone_number": "662-846-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E SUNFLOWER RD",
            "address_2": "SUITE 100A",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322800",
            "telephone_number": "662-846-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "BENNIE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "08829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115711",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, MS

Sources for this page

Verify at the official NPI Registry.