Stephen B Cooper, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1542 Issued in AL

Practice address

3700 S Railroad St Ste B
Phenix City, AL 36867-2994

Phone

(334) 298-7700

Fax

(866) 537-1711

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phenix City Spine and Joint Ctr.Group PAC ID 8921009564, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Phenix City Spine & Joint Ctr.

  • Chiropractor
  • Phenix City, AL
  • NPI 1053330340
  Medicare reassignment Care Compare group NPD Authorized official
• Phenix City Joint & Rehab, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Phenix City, AL
  • NPI 1760915748
  NPD (past) Authorized official
• CMG1, LLC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Midland, GA
  • NPI 1033522420
  NPD (past) Authorized official
• Decatur Spine & Joint Center, LLC

  • Chiropractor
  • Decatur, GA
  • NPI 1457081226
  NPD (past) Authorized official
• Chimedical Diagnostics, LLC

  • General Practice Physician
  • Forest Park, GA
  • NPI 1790105740

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1699719732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1611",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368681611",
            "telephone_number": "334-298-7700",
            "fax_number": "866-537-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 S RAILROAD ST STE B",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368672994",
            "telephone_number": "334-298-7700",
            "fax_number": "866-537-1711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "541 Forest Pkwy Ste 14",
            "address_purpose": "LOCATION",
            "city": "Forest Park",
            "state": "GA",
            "postal_code": "302976110",
            "country_code": "US",
            "telephone_number": "877-495-7773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3755 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300322459",
            "country_code": "US",
            "telephone_number": "470-870-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "STEPHEN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR004974",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114539",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Phenix City, AL
• Providers in Phenix City, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.