Provider Demographics
NPI:1528117124
Name:BRIGHT, YVONNE RENEE (MD)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:RENEE
Last Name:BRIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:985 PRINCE FREDERICK BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:PRINCE FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:20678-3492
Mailing Address - Country:US
Mailing Address - Phone:410-535-2005
Mailing Address - Fax:410-535-4850
Practice Address - Street 1:110 HOSPITAL RD STE 306
Practice Address - Street 2:
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-4046
Practice Address - Country:US
Practice Address - Phone:410-535-2005
Practice Address - Fax:410-414-6179
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0057306207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD100015565OtherRAILROAD MEDICARE
MD293479OtherMAMSI HMO SPECIALIST
MD2154481OtherAETNA HMO SPECIALIST
MD686101600Medicaid
MD61172701OtherCAREFIRST OF MARYLAND
MD7642269OtherAETNA NON-HMO SPECIALIST
DCC0410027OtherCAREFIRST OF DC
MDH44017Medicare UPIN
DCC0410027OtherCAREFIRST OF DC