Brenda Cooperstone, MD

Primary specialty

Pediatric Nephrology PhysicianTaxonomy code 2080P0210X

License

MD044113L Issued in PA

Practice address

394 Strathmore Dr
Bryn Mawr, PA 19010-1261

Phone

(484) 865-5124

NPI assigned

Nov 20, 2015

Last updated

Nov 20, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1386018844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 STRATHMORE DR",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 STRATHMORE DR",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101261",
            "telephone_number": "484-865-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPERSTONE",
        "first_name": "BRENDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "PA",
            "license": "MD044113L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Blaire Cook, M.ED, LPC, LMHC, NCC
• Rosemary A Cook, M.D.
• Marina Jean Cooney, MD
• Cinda L Cooper, LSW
• Collin Dallas Cooper, P.A.
• Jennifer Elizabeth Copeland, M.S., BCBA
• James Coplan, MD
• Kate K. Cornwell
• Anthony R Costa, DMD
• Nicole Costa, CRNP

• Pediatric Nephrology Physician in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Pediatric Nephrology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.