Jordan Bond Cooper, C.R.N.A.
Individual provider Active NPI Certified Registered Nurse Anesthetist · Bryan, TX
NPI 1982942066 · NPPES record last updated Mar 18, 2019
Key facts
- NPI
- 1982942066
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 754677 (TX)
- Practice address
- 1737 Briarcrest Dr
Suite 14
Bryan, TX 77802-2769 - Phone
- (979) 776-4777
- NPI assigned
- Jan 23, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 23
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Ward
Enterprise Anesthesia Services PLLC
Practice addresses (Care Compare)
406 S Gary Ave
Monahans, TX 79756-4799
Phone (432) 943-2511
720 Hospital Dr
Andrews, TX 79714-3617
Phone (432) 464-2200
Hospital & facility affiliations
- Permian Regional Medical Center Andrews County Ho
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130625000665 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6406095355 | Reassigns benefits to 15 organizations |
| I20210518002751 | NM | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6406095355 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaf Smith County Hospital District | Current |
Accepting new patients | |
| County of Ward | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Crane County Hospital District | Current |
Accepting new patients | |
| Foremost Anesthesia | Current |
Accepting new patients | |
| Edward T Shin MD PA | Current |
Accepting new patients | |
| Pecos County Memorial Hospital District | Current |
Accepting new patients | |
| Colorectal Associates of Texas PA | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| County of Ward | Current | Accepting new patients | |
| Steven M Gadol MD PA | Current |
Accepting new patients | |
| Crane County Hospital District | Current |
Accepting new patients | |
| Deaf Smith County Hospital District | Current | Accepting new patients | |
| MJB Physician Services PLLC | Current |
Accepting new patients | |
| Pecos County Memorial Hospital District | Current | Accepting new patients | |
| Crane County Hospital District | Current |
Accepting new patients | |
| County of Ward | Current |
Accepting new patients | |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| County of Ward | Current |
Accepting new patients | |
| Enterprise Anesthesia Services, PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Texas Health Care, P.L.L.C. | Past |
Accepting new patients |
Locations
5601 Health Center Dr
Abilene, TX 79606
Phone (325) 690-4460
3301 S 14th St
#16180
Abilene, TX 79605
3301 S 14th St
Ste 16180
Abilene, TX 79605
2120 Antilley Rd
Abilene, TX 79606
Phone (325) 695-2020
720 Hospital Dr
Andrews, TX 79714
Phone (432) 464-2200
101 S Avenue T
Clifton, TX 76634
Phone (254) 675-8322
1301 S Alford St
Crane, TX 79731
Phone (432) 558-3555
1310 S Alford St
Crane, TX 79731
Phone (432) 558-3555
1411 Denver Ave
Dalhart, TX 79022
Phone (806) 244-4571
5757 Alpha Rd
Ste 110
Dallas, TX 75240
Phone (972) 502-9981
5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637
387 W Interstate 10
Fort Stockton, TX 79735
Phone (432) 336-2004
4401 Coit Rd
Ste 301
Frisco, TX 75035
Phone (972) 377-4216
540 W 15th St
Hereford, TX 79045
Phone (806) 364-2141
406 S Gary Ave
Monahans, TX 79756
Phone (432) 943-2511
1705 Ohio Dr
Ste 100
Plano, TX 75093
5804 Communications Pkwy
Ste 100
Plano, TX 75093
Phone (972) 502-9981
1701 Ohio Dr
Plano, TX 75093
Phone (214) 291-3000
399 W Campbell Rd
Ste 202
Richardson, TX 75080
Phone (972) 463-9051
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
1305 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (512) 353-8161
5420 Kell Blvd
Wichita Falls, TX 76310
Phone (940) 692-5888
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/cranemh-eecf39fd
- https://api.platform.athenahealth.com/16703/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 754677 | TX | Yes |
Addresses
Primary practice location
1737 Briarcrest Dr
Suite 14
Bryan, TX 77802-2769
Mailing address
11560 Penick Way
Frisco, TX 75033-1796
Phone (713) 416-0218
Other providers in Bryan, TX
- Logan Denise Connor
- Katie Console
- Wendy Justine Contreras
- Joel Barrett Cook
- Sylwia W Cook
- Joshua Nicholus Cooper
- William Cooper
- Carole L Copeland
- Casey Cordova
- Sabra Cordray
All providers in Bryan, TX · Certified Registered Nurse Anesthetist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.