Bruce William Cooperman, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD00259600 Issued in NJ

Practice address

3 Plaza Dr
Ste 11
Toms River, NJ 08757-3765

Phone

(732) 349-3400

Fax

(732) 349-3403

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

College of Podiatric Med and Surgery, Des Moines University, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• R.C .Lillie S.J. Marder, D.P.M.'S

  • Podiatrist
  • West Long Branch, NJ
  • NPI 1710916432
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1275682783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PLAZA DR",
            "address_2": "STE 11",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087573765",
            "telephone_number": "732-349-3400",
            "fax_number": "732-349-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PLAZA DR",
            "address_2": "STE 11",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087573765",
            "telephone_number": "732-349-3400",
            "fax_number": "732-349-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPERMAN",
        "first_name": "BRUCE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00259600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Convissar
• Juliana Rose Conway, PA-C
• Samantha Margaret Cook, APN
• Gary M Cookson, P.T.
• Jennifer M Cooper, LCSW
• Bruce Coplin, M.D.
• Victoria Coppola, PA-C
• Dominique Coppolino, MSW, LCSW
• Gregory Joseph Coram, PSY.D. & APN-BC
• Richelle Corbo, LPC

• Podiatrist in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.

Verify at the official NPI Registry.