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General NPI Number Information
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NPI Number | 1518966415
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Entity Type | Individual
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Provider Name | CHARLES SCOTT KOPEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | 1690 MEADE ST
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City | DENVER
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State | CO
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Zip | 80204-1552
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Country | US
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Telephone | 970-391-4303
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 479
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City | ERIE
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State | CO
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Zip | 80516-0479
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Country | US
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Telephone | 970-391-4303
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Fax | 720-738-7873
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 45035
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DR 45035
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License Number State | CO
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