Active NPI
Brian Ezar Cooper, M.D.
- Emergency Medicine Physician
- Fort Defiance, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 053582
- Practice address
- Corner of RT N7 and N12
Fort Defiance, AZ 86504-0649 - Phone
- (928) 729-8600
- Fax
- (928) 729-8624
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 053582 | GA | Primary |
Addresses
Primary practice location
Corner of RT N7 and N12
Fort Defiance, AZ 86504-0649
Mailing address
Corner of RT N7 and N12
P.O. Box 649
Fort Defiance, AZ 86504-0649
Phone (928) 729-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Texas Southwestern Medical School at Dallas, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
702 W Drake Rd
Suite D
Fort Collins, CO 80526-5563
Phone (970) 493-9193
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.04 of 100
- Quality
- 87.35
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professionals of Colorado, PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Professionals of Colorado, PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of the Rockies, PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of the Rockies, PC | Emergency Medicine | Current | Accepting new patients |
| Rocky Mountain Clinics LLC | Current | Accepting new patients | |
| Rocky Mountain Clinics, LLC | Current | Accepting new patients | |
| Rocky Mountain Clinics LLC | Past | Accepting new patients | |
| Rocky Mountain Clinics LLC | Past | Accepting new patients | |
| Rocky Mountain Clinics LLC | Past | Accepting new patients | |
| Rocky Mountain Clinics LLC | Past | Accepting new patients | |
| Rocky Mountain Clinics LLC | Past | Accepting new patients | |
| Rocky Mountain Clinics LLC | Past | Accepting new patients | |
| Rocky Mountain Clinics, LLC | Past | Accepting new patients | |
| Rocky Mountain Clinics LLC | Past | Accepting new patients | |
| Rocky Mountain Clinics LLC | Past | Accepting new patients | |
| Rocky Mountain Clinics LLC | Past | Accepting new patients | |
| East Morgan County Hospital | Past | Accepting new patients | |
| Rocky Mountain Clinics LLC | Past | Accepting new patients | |
| Rocky Mountain Clinics LLC | Past | Accepting new patients | |
| Rocky Mountain Clinics LLC | Past | Accepting new patients | |
| Rocky Mountain Clinics LLC | Past | Accepting new patients | |
| Rocky Mountain Clinics LLC | Past | Accepting new patients | |
| Rocky Mountain Clinics LLC | Past | Accepting new patients | |
| Rocky Mountain Clinics LLC | Past | Accepting new patients | |
| Rocky Mountain Clinics LLC | Past | Accepting new patients | |
| DHHS PHS Naihs Fort Defiance Hospital | Past | Accepting new patients | |
| Rocky Mountain Clinics LLC | Past | Accepting new patients |
Locations (25 of 31)
2224 S Fraser St
Unit 3
Aurora, CO 80014
Phone (720) 484-4428
4720 Table Mesa Dr
Ste B100
Boulder, CO 80305
Phone (720) 476-7957
1861 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 419-7735
7190 Colorado Blvd
Ste 340
Commerce City, CO 80022
Phone (303) 467-2624
1485 Florida Rd
Ste 203C
Durango, CO 81301
Phone (970) 247-9415
1120 E Elizabeth St
Ste 2
Fort Collins, CO 80524
1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000
702 W Drake Rd
Ste D
Fort Collins, CO 80526
1120 E Elizabeth St
Ste G2
Fort Collins, CO 80524
Phone (970) 443-8268
360 Peak One Dr
Ste 110
Frisco, CO 80443
Phone (970) 668-3478
17301 W Colfax Ave
Ste 275
Golden, CO 80401
Phone (303) 681-1894
2478 Patterson Rd
Ste 18
Grand Junction, CO 81505
Phone (970) 644-5303
8223 W 20th St
Ste 100A
Greeley, CO 80634
Phone (970) 702-2705
801 16TH St
Greeley, CO 80631
1801 16th St
Greeley, CO 80631
Phone (970) 352-4121
304 W Tomichi Ave
Ste 23
Gunnison, CO 81230
Phone (970) 644-5303
313 W 3rd St
Ste 200
La Junta, CO 81050
Phone (209) 309-1885
8015 W Alameda Ave
Ste 260
Lakewood, CO 80226
Phone (303) 744-3477
11000 County Road GG.5
Las Animas, CO 81054
Phone (719) 456-2600
1308 Vivian St
Longmont, CO 80501
Phone (303) 682-9197
1640 Topaz Dr
Loveland, CO 80537
Phone (720) 326-9317
11172 Huron St
Ste 20
Northglenn, CO 80234
Phone (303) 568-9694
1249 E Routt Ave
Pueblo, CO 81004
Phone (720) 808-0051
710 Hunter Dr
Pueblo, CO 81001
Phone (719) 225-8246
3460 S Federal Blvd
Sheridan, CO 80110
Phone (303) 761-0200
Organizations & group practices 27
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.
-
- Addiction Medicine (Family Medicine) Physician
- Fort Collins, CO
- NPI 1295450294
-
- Emergency Medicine Physician
- Ft Collins, CO
- NPI 1174570717
-
- Emergency Medicine Physician
- Loveland, CO
- NPI 1396496469
-
- Emergency Medicine Physician
- Longmont, CO
- NPI 1285133819
-
- Emergency Medicine Physician
- Greeley, CO
- NPI 1366835415
-
- Addiction Medicine (Family Medicine) Physician
- Alamosa, CO
- NPI 1285468546
-
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1700962131
-
- Critical Access Hospital
- Brush, CO
- NPI 1699708743
-
- Addiction Medicine (Family Medicine) Physician
- Northglenn, CO
- NPI 1205552254
-
- Addiction Medicine (Family Medicine) Physician
- Durango, CO
- NPI 1245956143
-
- Addiction Medicine (Family Medicine) Physician
- Pueblo, CO
- NPI 1295451185
-
- Addiction Medicine (Family Medicine) Physician
- Englewood, CO
- NPI 1386360212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073673166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CORNER OF RT N7 AND N12",
"address_2": "P.O. BOX 649",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "865040649",
"telephone_number": "928-729-8600",
"fax_number": "928-729-8624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CORNER OF RT N7 AND N12",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "865040649",
"telephone_number": "928-729-8600",
"fax_number": "928-729-8624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "BRIAN",
"middle_name": "EZAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "053582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Defiance, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.