Bradley Gail Coppess, CRNA | |
700 Lawrence Expy, Santa Clara, CA 95051-5173 | |
(408) 851-1000 | |
Not Available |
Full Name | Bradley Gail Coppess |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 700 Lawrence Expy, Santa Clara, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700159639 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4187 (Ohio) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Maitran Consulting Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003572769 PECOS PAC ID: 2567858764 Enrollment ID: O20220414001359 |
Mailing Address | Practice Location Address |
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Bradley Gail Coppess, CRNA 401 Moana Way, Pacifica, CA 94044-2837 Ph: (585) 967-8819 | Bradley Gail Coppess, CRNA 700 Lawrence Expy, Santa Clara, CA 95051-5173 Ph: (408) 851-1000 |
Amanda Lynn Rae, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 410-591-3500 | |
Miss Patricia Marie Melia, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-231-7371 | |
Ms. Sheau-ying Ding, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Sydnie Dong, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Ms. Karen Dianne Scates, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-236-5742 | |
Valerie K Petty, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 559-448-4500 | |
Mrs. Mary Jane Ngee Leung, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-5530 |