Provider Demographics
NPI:1053373316
Name:ALBRIGHT, ANTHONY F (MD)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:F
Last Name:ALBRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58515 PEARL ACRES RD
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-5423
Mailing Address - Country:US
Mailing Address - Phone:985-641-8982
Mailing Address - Fax:985-893-6908
Practice Address - Street 1:58515 PEARL ACRES RD
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-5423
Practice Address - Country:US
Practice Address - Phone:985-641-8982
Practice Address - Fax:985-646-0696
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS12295207RG0100X
LA019003207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00019708Medicaid
LA1382922Medicaid
LA110043223OtherRAILROAD MEDICARE
LAC67694Medicare UPIN
MS100000133Medicare ID - Type Unspecified
LA1382922Medicaid