Active NPI
Billy L Cooper
- Durable Medical Equipment & Medical Supplies
- Commerce Township, MI
National Provider Identifier
1366582009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- BILLY L COOPER
- Practice address
- 39690 W 14 Mile Rd
Commerce Township, MI 48390-3909 - Phone
- (248) 669-2416
- Fax
- (248) 671-0922
- NPI assigned
- Feb 8, 2007
- Last updated
- Aug 17, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Billy Lee Cooper, M.B.A.
- Title
- Owner
- Phone
- (248) 669-2416
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | MI | Primary |
Addresses
Primary practice location
39690 W 14 Mile Rd
Commerce Township, MI 48390-3909
Mailing address
39690 W 14 Mile Rd
Commerce Township, MI 48390-3909
Phone (248) 669-2416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54-0-F3-4033-0 | Other | MI | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
39690 W 14 Mile Rd
Commerce Township, MI 48390
Phone (248) 669-2416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250467200000",
"number": "1366582009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39690 W 14 MILE RD",
"city": "COMMERCE TOWNSHIP",
"state": "MI",
"postal_code": "483903909",
"telephone_number": "248-669-2416",
"fax_number": "248-671-0922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39690 W 14 MILE RD",
"city": "COMMERCE TOWNSHIP",
"state": "MI",
"postal_code": "483903909",
"telephone_number": "248-669-2416",
"fax_number": "248-671-0922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BILLY L COOPER",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2009-08-17",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "BILLY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-669-2416",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.B.A."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "54-0-F3-4033-0",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Commerce Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.