Individual provider Active NPI

Brenden Cooper, M.D.

  • Family Medicine Physician
  • Wheeling, WV
National Provider Identifier
1043692593
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
55684 Issued in AZ
Practice address
40 Medical Park
Wheeling, WV 26003-6392
Phone
(304) 243-3880
NPI assigned
Jun 22, 2015
Last updated
Mar 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 55684 AZ Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

40 Medical Park
Wheeling, WV 26003-6392

Mailing address

40 Medical Park
Wheeling, WV 26003-6392
Phone (304) 243-3880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20180828003532 AZ Practitioner - Family Practice 2961717723 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aligned Medical Providers LLCGroup PAC ID 9234553116, 14 clinicians
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

12740 N Plaza del Rio Blvd
Peoria, AZ 85381-8100
Phone (480) 581-3600

1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone (520) 872-3000

775 E Willetta St
Phoenix, AZ 85006-2723
Phone (480) 581-3900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.74 of 100Reported as group
Quality
79.16
Promoting interoperability
100
Improvement activities
40
Cost
69.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
55684AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Physicians, Inc Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
American Physicians, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Tucson Physician Group Holdings, LLC CurrentSince Oct 10, 2024 Accepting new patients
Cogent Healthcare of Arizona PC CurrentSince Jul 3, 2018 Accepting new patients
SMSJ Tucson Holdings LLC Past Accepting new patients
Wheeling Hospital Inc Past Accepting new patients
SMSJ Tucson Holdings LLC Past Accepting new patients
Colon & Rectal Clinic LLC Past Accepting new patients

Locations

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

1209 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3135

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

5620 W Cortaro Farms Rd
Tucson, AZ 85742
Phone (520) 872-4000

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

Organizations & group practices 9

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1043692593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MEDICAL PARK",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036392",
            "telephone_number": "304-243-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MEDICAL PARK",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036392",
            "telephone_number": "304-243-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "BRENDEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "55684",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.