Individual provider Active NPI

Brian Ezar Cooper, M.D.

  • Emergency Medicine Physician
  • Fort Defiance, AZ
National Provider Identifier
1073673166
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
053582 Issued in GA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110825000552 CO Practitioner - Emergency Medicine 6305810631 Reassigns benefits to 3 organizations

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
Rocky Mountain Clinics LLCGroup PAC ID 5597136218, 49 clinicians

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 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Colorado, PC Emergency Medicine CurrentSince Sep 1, 2015 Accepting new patients
Emergency Professionals of Colorado, PC Emergency Medicine CurrentSince Sep 1, 2015 Accepting new patients
Emergency Physicians of the Rockies, PC Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Emergency Physicians of the Rockies, PC Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Rocky Mountain Clinics LLC CurrentSince Dec 16, 2022 Accepting new patients
Rocky Mountain Clinics, LLC CurrentSince Dec 16, 2022 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 PastSince Mar 12, 2024 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.

View all 27

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

Verify at the official NPI Registry.