Dr Brian Ezar Cooper, MD | |
Corner Of Rt N7 And N12, Fort Defiance, AZ 86504-0649 | |
(928) 729-8600 | |
(928) 729-8624 |
Full Name | Dr Brian Ezar Cooper |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 23 Years |
Location | Corner Of Rt N7 And N12, Fort Defiance, Arizona |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073673166 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 053582 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Poudre Valley Hospital | Fort collins, CO | Hospital |
Medical Center Of The Rockies | Loveland, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emergency Physicians Of The Rockies, Pc | 0345232492 | 58 |
Rocky Mountain Clinics Llc | 5597136218 | 35 |
Entity Name | Emergency Physicians Of The Rockies, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174570717 PECOS PAC ID: 0345232492 Enrollment ID: O20040401001494 |
Entity Name | Emergency Professionals Of Colorado Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396496469 PECOS PAC ID: 2860706967 Enrollment ID: O20150803002325 |
Entity Name | Aurora Therapy Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316520588 PECOS PAC ID: 6507250834 Enrollment ID: O20220302000157 |
Entity Name | Rocky Mountain Clinics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295450294 PECOS PAC ID: 5597136218 Enrollment ID: O20230117001707 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian Ezar Cooper, MD Corner Of Rt N7 And N12, P.o. Box 649, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8600 | Dr Brian Ezar Cooper, MD Corner Of Rt N7 And N12, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8600 |
Dr. Romulo Laureta Parungao, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8600 | |
Dr. Tyrone Harold Walker, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: Corner Of Rte N 12 And N 7, Fort Defiance, AZ 86504 Phone: 928-729-8600 | |
Samuel Bryan Wood, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8600 | |
Elyssa Berg, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8600 | |
Dr. Scott A Kelso, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Dr. Shannon Reynolds, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8132 |