Lyle Cooper, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1061 Issued in AL

Practice address

3533 Gulf Shores Parkway
Gulf Shores, AL 36542

Phone

(251) 968-2000

Fax

(251) 968-5953

NPI assigned

Sep 22, 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

National College of Chiropractic, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Chiropractic Care, Inc.

  • Chiropractor
  • Gulf Shores, AL
  • NPI 1295125490
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1851490981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 899",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365470899",
            "telephone_number": "251-968-2000",
            "fax_number": "251-968-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 GULF SHORES PARKWAY",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "36542",
            "telephone_number": "251-968-2000",
            "fax_number": "251-968-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "LYLE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1061",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4882",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51161655",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Gulf Shores Inc
• Clearwater Counseling, LLC
• Coastal Dental LLC
• Coastal Wellness LLC
• Madison Eleanor Cookston, OTD,OTR/L
• Lyle Keith Cooper II, LPC
• Summer Costigan
• Counseling Centre, LLC
• Elizabeth Chapman Craft, MC, LPC
• Sabrina Crutchfield, PHARMD

• Chiropractor in Gulf Shores, AL
• Providers in Gulf Shores, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.