Individual provider Active NPI

Douglas Brendon Cooper, PHD

  • Clinical Neuropsychologist
  • Fort Sam Houston, TX
National Provider Identifier
1629056734
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
32263 Issued in TX
Practice address
3851 Roger Brooke Dr
Fort Sam Houston, TX 78234-4501
Phone
(210) 916-3955
Fax
(210) 916-4040
NPI assigned
Jan 9, 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
Clinical Neuropsychologist 103G00000X 32263 TX Primary

Addresses

Primary practice location

3851 Roger Brooke Dr
Fort Sam Houston, TX 78234-4501

Mailing address

125 Cloverleaf Ave
San Antonio, TX 78209-3818
Phone (210) 824-2246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040126000136 TX Practitioner - Clinical Psychologist 1254233612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Texas Southwestern Medical School at Dallas, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16014 Via Shavano
San Antonio, TX 78249-2364
Phone (210) 614-3011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32263TXMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Neuropsychological Associates PLLC Clinical Neuropsychologist CurrentSince May 25, 2012 Accepting new patients
South Texas Neurobehavioral Group LLC Clinical Neuropsychologist CurrentSince Jan 6, 2012 Accepting new patients
HM Therapy Clinic P.a. Past Accepting new patients

Locations

16014 Via Shavano
San Antonio, TX 78249
Phone (210) 612-1135

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629056734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CLOVERLEAF AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782093818",
            "telephone_number": "210-824-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344501",
            "telephone_number": "210-916-3955",
            "fax_number": "210-916-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "DOUGLAS",
        "middle_name": "BRENDON",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "32263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.