Cooper, Bruce David

Cooper, Bruce David is an individual health care provider with primary practice located at 120 Bristlecone Dr , Fort Collins CO 80524-2031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is his primary health care specialty. Cooper, Bruce David can be contacted via phone (970) 224-5209.

Contact Information

Primary practice address
120 Bristlecone Dr Fort Collins CO 80524-2031
Phone: (970) 224-5209
Fax: (970) 221-7165
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24912 Colorado
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 24912 Colorado

Profile Details

NPI number 1790769230
LBN Legal business name Cooper, Bruce David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Nov 21st, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790769230 NPPES
Colorado MEDICAID 01249127

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