Organization Active NPI

Billy L Cooper

  • Durable Medical Equipment & Medical Supplies
  • Commerce Township, MI
National Provider Identifier
1366582009
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
54-0-F3-4033-0OtherMIBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.