Mr Bradley Alan Cooper, OT is a
Occupational Therapist - Ergonomics based in Shaw, Mississippi. Mr Bradley Alan Cooper is licensed to practice in Mississippi (license number OT0258) and his current practice location is
12 Carmelita Cv, Shaw, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(662) 846-7228.
NPI number for Mr Bradley Alan Cooper is 1174744932 and his current mailing address is 12 Carmelita Cv, Shaw, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174744932.
Healthcare Provider's Profile
| Full Name | Mr Bradley Alan Cooper |
|---|
| Gender | Male |
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| Speciality | Occupational Therapist - Ergonomics |
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| Location | 12 Carmelita Cv, Shaw, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174744932
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Bradley Alan Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174744932 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | OT0258 (Mississippi) | Primary |
| 225XE1200X | Occupational Therapist - Ergonomics | OT0258 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Bradley Alan Cooper is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Bradley Alan Cooper, OT
12 Carmelita Cv,
Shaw, MS 38773-9619
Ph: (662) 846-7228 | Mr Bradley Alan Cooper, OT
12 Carmelita Cv,
Shaw, MS 38773-9619
Ph: (662) 846-7228 |
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