Active NPI
William R Cooper, MD
- Pulmonary Disease Physician
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 0101019828
- Practice address
- 1008 First Colonial Rd
Suite 103
Virginia Beach, VA 23454-3071 - Phone
- (757) 481-2515
- Fax
- (757) 481-4064
- NPI assigned
- Sep 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 0101019828 | VA | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 0101019828 | VA |
Addresses
Primary practice location
1008 First Colonial Rd
Suite 103
Virginia Beach, VA 23454-3071
Mailing address
PO Box 7068
Portsmouth, VA 23707-0068
Phone (757) 686-3508
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V29930786 | Other | VA | CHAMPUS |
| 5819202 | Medicaid | VA | |
| 15609 | Other | VA | OPTIMA |
| CIGNA | Other | VA | 1470700004 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101019828 | VA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayview Physician Services, PC | Current | Accepting new patients | |
| Bayview Physician Services, PC | Critical Care Medicine | Current | Accepting new patients |
| Pulmonary Medicine of Virginia Beach, Inc. | Pulmonary Disease | Current | Accepting new patients |
| Bayview Medical Center, Inc | Past | Accepting new patients | |
| Bayview Physician Services, PC | Past | Accepting new patients |
Locations
111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210
3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321
1975 Glenn Mitchell Dr
Ste 302
Virginia Beach, VA 23456
Phone (757) 481-2515
1008 First Colonial Rd
Ste 103
Virginia Beach, VA 23454
Phone (757) 481-2515
1168 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 352-2020
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Chesapeake, VA
- NPI 1508813387
Critical Care Medicine
-
- Radiology Clinic/Center
- Suffolk, VA
- NPI 1699865626
-
- Pulmonary Disease Physician
- Virginia Beach, VA
- NPI 1568627834
-
- Ambulatory Surgical Clinic/Center
- Suffolk, VA
- NPI 1568466209
-
- Clinical Medical Laboratory
- Suffolk, VA
- NPI 1629032339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325808000000",
"number": "1124127147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7068",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237070068",
"telephone_number": "757-686-3508",
"fax_number": "757-686-0541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 FIRST COLONIAL RD",
"address_2": "SUITE 103",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234543071",
"telephone_number": "757-481-2515",
"fax_number": "757-481-4064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "WILLIAM",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2012-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "VA",
"license": "0101019828",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "VA",
"license": "0101019828",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "V29930786",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5819202",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "15609",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1470700004",
"identifier": "CIGNA",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.