Copperfield OB/GYN P.L.L.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

COPPERFIELD OB/GYN P.L.L.C.

Practice address

349 Penny LN
Concord, NC 28025-1221

Phone

(704) 786-7158

Fax

(704) 786-7160

NPI assigned

Mar 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Crystal K Gibby, CPC

Title

Business Manager

Phone

(704) 786-7158

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457311904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 PENNY LN",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251221",
            "telephone_number": "704-786-7158",
            "fax_number": "704-786-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 PENNY LN",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251221",
            "telephone_number": "704-786-7158",
            "fax_number": "704-786-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPERFIELD OB/GYN P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIBBY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "704-786-7158",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0104V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890104V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Michael Cooper, DC
• Whitney Cooper, LMBT
• Gale Coor, MS LPA
• Allison Brookshire Coore, M.A., L.P.C., N.C.C.
• Samantha Josephine Copeland
• Copperfield SNF Operations LLC (Copperfield Health & Rehabilitation)
• Toni Corbani, PT, DPT
• Melba Eunice Cordero, MS, LCMHC-S
• Charles Craig Corey, M.D.
• Tabatha Cornelius

• Specialist in Concord, NC
• Providers in Concord, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.