| Dr Brian Ezar Cooper, MD | |
|
Corner Of Rt N7 And N12, Fort Defiance, AZ 86504-0649 | |
| (928) 729-8600 | |
| (928) 729-8624 |
| Full Name | Dr Brian Ezar Cooper |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 24 Years |
| Location | Corner Of Rt N7 And N12, Fort Defiance, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073673166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 053582 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rocky Mountain Clinics Llc | 5597136218 | 48 |
| Entity Name | Emergency Physicians Of The Rockies, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174570717 PECOS PAC ID: 0345232492 Enrollment ID: O20040401001494 |
| Entity Name | Emergency Professionals Of Colorado Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396496469 PECOS PAC ID: 2860706967 Enrollment ID: O20150803002325 |
| Entity Name | Aurora Therapy Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316520588 PECOS PAC ID: 6507250834 Enrollment ID: O20220302000157 |
| Entity Name | Rocky Mountain Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295450294 PECOS PAC ID: 5597136218 Enrollment ID: O20230117001707 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Ezar Cooper, MD Corner Of Rt N7 And N12, P.o. Box 649, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8600 | Dr Brian Ezar Cooper, MD Corner Of Rt N7 And N12, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8600 |
Dr. Romulo Laureta Parungao, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8600 | |
Dr. Tyrone Harold Walker, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: Corner Of Rte N 12 And N 7, Fort Defiance, AZ 86504 Phone: 928-729-8600 | |
Samuel Bryan Wood, Emergency Medicine Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8600 | |
Nicholas Frank Zampariello, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Elyssa Berg, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8600 | |
Dr. Scott A Kelso, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 |