Shaun Daniel Cooper, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

U3499 Issued in TX

Practice address

1600 Central Dr Ste 158
Bedford, TX 76022-6015

Phone

(817) 736-2912

Fax

(817) 736-2912

NPI assigned

May 22, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Essential Dermatology Group, PLLCGroup PAC ID 9638586928, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00121

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Essential Dermatology Group, PLLC

  • Dermatology Physician
  • Bedford, TX
  • NPI 1396338190
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1023675352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CENTRAL DR STE 158",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226015",
            "telephone_number": "817-736-2912",
            "fax_number": "817-736-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CENTRAL DR STE 158",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226015",
            "telephone_number": "817-736-2912",
            "fax_number": "817-736-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "SHAUN",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "U3499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Christopher Contreras, LPC-S, LCDC
• Charles Robert Cook, D.O.
• Cooper Functional Services
• Kenneth Charles Cooper, DC, PT
• Naomi Dakota Cooper, D.D.S.
• Jeffery Lamar Corbet, D.D.S.
• Core Rehabilitation Group
• Cornerstone Caregiving West LLC
• Coryell County Memorial Hospital Authority
• Evelyn Imes Cosmai, LMHC

• Dermatology Physician in Bedford, TX
• Providers in Bedford, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.