Bryan D Copas, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0002807 Issued in CO

Practice address

569 32 Rd, Unit 12
Mountain Peaks Urgent Care
Grand Junction, CO 81504-6095

Phone

(970) 523-3544

Fax

(970) 434-3422

NPI assigned

Dec 2, 2005

Last updated

Nov 16, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1982688057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 32 RD., UNIT 12",
            "address_2": "MOUNTAIN PEAKS URGENT CARE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815046095",
            "telephone_number": "970-523-3544",
            "fax_number": "970-434-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 32 RD, UNIT 12",
            "address_2": "MOUNTAIN PEAKS URGENT CARE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815046095",
            "telephone_number": "970-523-3544",
            "fax_number": "970-434-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPAS",
        "first_name": "BRYAN",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0002807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Jean Cooper
• Jorja Jean Cooper
• Michael Stephen Cooper, LAC
• Paul A Cooper, M.D.
• Glen Copa, MT
• Jennifer M. Copeland, M.D.
• Mitchell Larry Copeland, DO
• Mitchell Theodore Copeland, DO
• Janet K Copelle, LMT
• J. Michael Corbett, DDS

• Physician Assistant in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.