Active NPI
Hal Eubert Copple Jr., M.D.
- Pediatrics Physician
- Charlotte, NC
National Provider Identifier
1437170776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 18546
- Practice address
- 231 S Sharon Amity Rd
Charlotte, NC 28211-2803 - Phone
- (704) 304-6400
- Fax
- (704) 442-7021
- NPI assigned
- Jul 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 18546 | SC | Primary |
| Pediatrics Physician | 208000000X | 9601273 | NC |
Addresses
Primary practice location
231 S Sharon Amity Rd
Charlotte, NC 28211-2803
Mailing address
PO Box 602148
Charlotte, NC 28260-2148
Phone (704) 304-6400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0259N | Other | NC | BCBS |
| 1437170776 | Medicaid | NC | |
| 185463 | Medicaid | SC | |
| 890645H | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18546 | SC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483056000000",
"number": "1437170776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602148",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602148",
"telephone_number": "704-304-6400",
"fax_number": "704-442-7021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 S SHARON AMITY RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112803",
"telephone_number": "704-304-6400",
"fax_number": "704-442-7021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPPLE",
"first_name": "HAL",
"middle_name": "EUBERT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2016-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "18546",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "9601273",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0259N",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437170776",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "185463",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890645H",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.