Brice David Kopas, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

33544 Issued in AZ

Practice address

4930 N 1St Ave
Tucson, AZ 85718

Phone

(520) 577-3333

Fax

(520) 577-4685

NPI assigned

Nov 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brice.kopas@speds.eclinicaldirectplus.com

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.

• Skyline Pediatrics Professional Corporation

  dba Skyline Pediatrics PC

  • Pediatrics Physician
  • Tucson, AZ
  • NPI 1184948416
  NPD Authorized official

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1942282140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 N 1ST AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185615",
            "telephone_number": "520-577-3333",
            "fax_number": "520-577-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 N 1ST AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85718",
            "telephone_number": "520-577-3333",
            "fax_number": "520-577-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPAS",
        "first_name": "BRICE",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "33544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "932617",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonjung Jane Koo, D.D.S.
• Elizabeth Koo, D.D.S.
• Gwen Marie Kooi, OTR
• Melissa G Koon, ANP
• Gerald M Koori
• Rebecca M Kopas, MD
• Rebecca Kopec, MT
• Kerry Kopecky, FNP
• Brian J Kopp, PHARM.D.
• Joseph Kopp

• Pediatrics Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.