Active NPI
James Bryan Cooper, M.D.
- Neurology Physician
- Greenville, NC
National Provider Identifier
1356436745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 200400320
- Practice address
- 498A Red Banks Road
Greenville, NC 27858 - Phone
- (252) 215-3067
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 200400320 | NC | Primary |
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | 200400320 | NC | |
| Neuroradiology Physician | 2085N0700X | 200400320 | NC |
Addresses
Primary practice location
498A Red Banks Road
Greenville, NC 27858
Mailing address
498A Red Banks Road
Greenville, NC 27858
Phone (252) 215-3067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040720001596 | NC | Practitioner - Neurology | 3779563853 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200400320 | NC | MD | Pain Medicine (Psychiatry & Neurology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248825600000",
"number": "1356436745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "498A RED BANKS ROAD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27858",
"telephone_number": "252-215-3067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "498A RED BANKS ROAD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27858",
"telephone_number": "252-215-3067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "JAMES",
"middle_name": "BRYAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2009-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "200400320",
"primary": true
},
{
"code": "2084P2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Pain Medicine",
"state": "NC",
"license": "200400320",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "NC",
"license": "200400320",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.