Healthcare Provider Details

I. General information

NPI: 1033026638
Provider Name (Legal Business Name): WILLIAM COPELAND EMT-B
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5920 MASSACHUSETTS AVE
BETHESDA MD
20816-2044
US

IV. Provider business mailing address

2125 14TH ST NW APT 223
WASHINGTON DC
20009-7578
US

V. Phone/Fax

Practice location:
  • Phone: 301-229-3200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number2057946
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: