William H Cooper IV, M.D.

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

28957 Issued in NC

Practice address

1500 Medical Center Dr
Wilmington, NC 28401-7507

Phone

(910) 763-9509

Fax

(910) 763-1058

NPI assigned

Aug 4, 2005

Reactivated

Apr 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1154322709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017507",
            "telephone_number": "910-763-9509",
            "fax_number": "910-763-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017507",
            "telephone_number": "910-763-9509",
            "fax_number": "910-763-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "WILLIAM",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2010-08-30",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NC",
            "license": "28957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01177",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendall Brianne Cooper, OD
• Michelle G Cooper, RD
• Reese Cooper
• Sara E Cooper, HIS
• Sheila Cassioli Cooper, OD
• Raven Coots, MSW, LCSW-A
• Ashley Danielle Copeland
• Tsahia Jasmine Copeland, MS, SLP
• Cora North Carolina, LLC
• Demonique Corbett, LCAS, CFE

• Reproductive Endocrinology Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Reproductive Endocrinology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.