Individual provider Active NPI

Christian Fletcher Cooper, MD

  • Internal Medicine Physician
  • Travis AFB, CA
National Provider Identifier
1508839440
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD29487 Issued in TN
Practice address
101 Bodin Cir BLDG 777
Travis AFB, CA 94535-1809
Phone
(707) 423-5702
NPI assigned
Feb 10, 2006
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 049772 GA
Internal Medicine Physician 207R00000X 28521 AL
Internal Medicine Physician 207R00000X MD29487 TN Primary
Aerospace Medicine Physician 2083A0100X 049772 GA
Hospitalist Physician 208M00000X ME131795 FL
Hospitalist Physician 208M00000X 29487 TN
Military Health Care Provider 171000000X ME131795 FL

Addresses

Primary practice location

101 Bodin Cir BLDG 777
Travis AFB, CA 94535-1809

Mailing address

101 Bodin Cir BLDG 777
Travis AFB, CA 94535-1809
Phone (707) 423-5702

Other practice location 1

2501 Capehart Rd
Offutt AFB, NE 68113-1043
Phone (402) 294-9025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040614001558 TN Practitioner - Internal Medicine 7618951088 Reassigns benefits to 1 organization
I20080312000664 AL Practitioner - Internal Medicine 7618951088 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28521ALMDInternal Medicine Physician
MD29487TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC Internal Medicine CurrentSince Feb 1, 2012 Accepting new patients
Houston County Healthcare Authority Internal Medicine CurrentSince Jul 19, 2014 Accepting new patients
Oak Mountain Group Services, LLC Hospitalist CurrentSince Aug 1, 2016 Accepting new patients
Houston County Healthcare Authority Internal Medicine CurrentSince Jul 19, 2014 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Aug 1, 2016 Accepting new patients
Houston County Healthcare Authority Internal Medicine Current Accepting new patients
Holston Medical Group PC Internal Medicine Current Accepting new patients
Cookeville Regional Medical Center Hospitalist Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
QHG of Enterprise Inc Internal Medicine Past Accepting new patients
United Emergency Services, Inc. Past Accepting new patients
Emergency Coverage, LLC Internal Medicine Past Accepting new patients
Cookeville Regional Medical Group, Inc PastSince Apr 8, 2019 Accepting new patients
Linda Munro Psy D PA PastSince Oct 1, 2019 Accepting new patients
Ecc Hospitalist Services PC Internal Medicine Past Accepting new patients

Locations

800 Montclair Rd
Birmingham, AL 35213
Phone (205) 592-1000

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

1411 W Baddour Pkwy
Lebanon, TN 37087
Phone (615) 443-2500

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1508839440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR BLDG 777",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-423-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR BLDG 777",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-423-5702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Capehart Rd",
            "address_purpose": "LOCATION",
            "city": "Offutt AFB",
            "state": "NE",
            "postal_code": "681131043",
            "country_code": "US",
            "telephone_number": "402-294-9025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CHRISTIAN",
        "middle_name": "FLETCHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "049772",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "28521",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD29487",
            "primary": true
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "GA",
            "license": "049772",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME131795",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "29487",
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "FL",
            "license": "ME131795",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Travis AFB, CA

Sources for this page

Verify at the official NPI Registry.