Bruce Cooper, MD
Internal Medicine in Niantic, Connecticut
1043203037- Practice location
- 22 W Main St, Niantic, CT 06357-2340
- Phone
- 860-739-4431
- Fax
- 860-739-9461
- Last updated
- December 1, 2008
Bruce Cooper is an Internal Medicine based in Niantic, CT. Bruce Cooper practices in Niantic, CT and has the professional credentials of MD. The NPI Number for Bruce Cooper is 1043203037 and holds a License No. 24339 (CT). The current practice location address for Bruce Cooper is 22 W Main St, Niantic, CT 06357-2340 and can be reached out via phone at 860-739-4431 and via fax at 860-739-9461.
Provider Profile Details
- NPI Number
- 1043203037
- Provider Name
- Bruce Cooper
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 22 W Main St, Niantic, CT 06357-2340
- Phone Number
- 860-739-4431
- Fax Number
- 860-739-9461
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 25, 2005
- Last Update Date
- December 1, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 W Main St
Niantic, CT 06357-2340 - City
- Niantic
- State
- Connecticut
- Zip
- 06357-2340
- Phone Number
- 860-739-4431
- Fax Number
- 860-739-9461
Provider Business Mailing Address Details
- Address
- 22 W Main St
Niantic, CT 06357-2340 - City
- Niantic
- State
- CT
- Zip
- 06357-2340
- Phone Number
- 860-739-4431
- Fax Number
- 860-739-9461
License Information
- License Number
- 24339
- License State
- CT
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Niantic, CT
View all Internal Medicine providers in Niantic →Frequently Asked Questions
What is the NPI number of Bruce Cooper, MD?
The NPI number of Bruce Cooper, MD is 1043203037. It was assigned on August 25, 2005 and is currently active in the NPPES registry.
What is the specialty of Bruce Cooper, MD?
Bruce Cooper, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 24339.
Where does Bruce Cooper, MD practice?
The practice location is 22 W Main St, Niantic, CT 06357-2340. The office can be reached at 860-739-4431 (phone) or 860-739-9461 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043203037 directly on the NPPES registry website.