| Bruce Cooper, MD | |
|
22 W Main St, Niantic, CT 06357-2340 | |
| (860) 739-4431 | |
| (860) 739-9461 |
| Full Name | Bruce Cooper |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 22 W Main St, Niantic, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043203037 | NPI | - | NPPES |
| 030023 | Other | CT | HEALTHNET |
| 1243393 | Medicaid | CT | |
| 010024339CT01 | Other | CT | BS/BC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 24339 (Connecticut) | Primary |
| Entity Name | Ipc Hospitalists Of New England Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821401761 PECOS PAC ID: 7618051442 Enrollment ID: O20091221000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Cooper, MD 22 W Main St, Niantic, CT 06357-2340 Ph: (860) 739-4431 | Bruce Cooper, MD 22 W Main St, Niantic, CT 06357-2340 Ph: (860) 739-4431 |
Robert Paul Goldberg, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 W Main St, Niantic, CT 06357 Phone: 860-739-4431 Fax: 860-739-9461 | |
Neil A Palker, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 248 Flanders Rd, Niantic, CT 06357 Phone: 860-739-5426 Fax: 860-739-0063 | |
David Duvall Thompson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 W Main St, Niantic, CT 06357 Phone: 860-739-4431 Fax: 860-739-9461 | |
Abel A Donka, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 W Main St, Niantic, CT 06357 Phone: 860-739-4431 Fax: 860-739-9461 | |
Dr. Robert Gordon Douglas Jr., M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 265 Old Black Point Rd, Niantic, CT 06357 Phone: 860-287-1532 |