Individual provider Active NPI

Bernard L. Coppolo Jr., M.D.

  • Specialist
  • Indiana, PA
National Provider Identifier
1497710727
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD019405E Issued in PA
Practice address
15 S 8TH St
Suite 201
Indiana, PA 15701-2776
Phone
(724) 349-8311
Fax
(724) 349-8331
NPI assigned
Apr 19, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD019405E PA Primary

Addresses

Primary practice location

15 S 8TH St
Suite 201
Indiana, PA 15701-2776

Mailing address

15 S 8TH St
Suite 201
Indiana, PA 15701-2776
Phone (724) 349-8311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101007000044 PA Practitioner - Internal Medicine 1658563895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 S 8TH St
Suite 201
Indiana, PA 15701-2776
Phone (724) 349-8311

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD019405EPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Medical Asssociates PC CurrentSince Oct 1, 2002 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

15 S 8th St
Ste 201
Indiana, PA 15701
Phone (724) 349-8311

Interoperability endpoints

  • Direct secure messaging: rosemedicalassociates.bernardcoppolo@124959.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497710727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S 8TH ST",
            "address_2": "SUITE 201",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012776",
            "telephone_number": "724-349-8311",
            "fax_number": "724-349-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S 8TH ST",
            "address_2": "SUITE 201",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012776",
            "telephone_number": "724-349-8311",
            "fax_number": "724-349-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPOLO",
        "first_name": "BERNARD",
        "middle_name": "L.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD019405E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.