=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922080209
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALAN B COOPER MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/14/2005
-----------------------------------------------------
Last Update Date | 07/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 919 JASMINE ST
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80220-4588
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-991-0993
-----------------------------------------------------
Fax | 303-531-6583
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 13901 E EXPOSITION AVE STE 202
-----------------------------------------------------
City | AURORA
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80012-2535
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-327-4700
-----------------------------------------------------
Fax | 303-327-4711
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RN0300X
-----------------------------------------------------
Taxonomy Name | Nephrology Physician
-----------------------------------------------------
License Number | 32305
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------