Individual provider Active NPI

Joseph Bennett Coopwood, M.D.

  • Surgery Physician
  • San Antonio, TX
National Provider Identifier
1881619203
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
J6388 Issued in TX
Practice address
343 W Houston St
Suite 705
San Antonio, TX 78205-2107
Phone
(210) 545-3660
Fax
(210) 545-3661
NPI assigned
Jul 13, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X J6388 TX Primary

Addresses

Primary practice location

343 W Houston St
Suite 705
San Antonio, TX 78205-2107

Mailing address

343 W Houston St
Suite 705
San Antonio, TX 78205-2107
Phone (210) 545-3660

Other identifiers 1

IdentifierTypeStateIssuer
154748101MedicaidTX

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071112000525 TX Practitioner - General Surgery 6305863945 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson Hospital, LLC Current Accepting new patients
Arlington Physician Services PA Surgery CurrentSince Mar 28, 2022 Accepting new patients
Henderson Hospital, LLC CurrentSince Mar 1, 2018 Accepting new patients
Henderson Hospital, LLC CurrentSince Mar 1, 2018 Accepting new patients
Starks Medical Past Accepting new patients
Surgical Practices of South Texas, PLLC Surgery Past Accepting new patients
St Joseph Regional Health Center Past Accepting new patients

Locations

340 Seven Springs Way
Ste 100
Brentwood, TN 37027
Phone (615) 296-3000

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

300 Wilson St
Henderson, TX 75652
Phone (903) 655-6536

Organizations & group practices 7

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881619203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 W HOUSTON ST",
            "address_2": "SUITE 705",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052107",
            "telephone_number": "210-545-3660",
            "fax_number": "210-545-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 W HOUSTON ST",
            "address_2": "SUITE 705",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052107",
            "telephone_number": "210-545-3660",
            "fax_number": "210-545-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPWOOD",
        "first_name": "JOSEPH",
        "middle_name": "BENNETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "J6388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154748101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.