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NPI Code Detail

MEDICARE: CHARLES SCOTT KOPEL M.D.

MEDICARE: CHARLES SCOTT KOPEL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician45035CO
2207R00000XInternal Medicine PhysicianDR 45035CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00459415OTHERCORAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518966415
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES SCOTT KOPEL M.D.
Provider Business Mailing Address
First Line : PO BOX 479
Second Line :
City : ERIE
State : CO
Zip : 80516-0479
Country : US
Telephone Number : 970-391-4303
Fax Number : 720-738-7873
Provider Business Practice Location Address
First Line : 1690 MEADE ST
Second Line :
City : DENVER
State : CO
Zip : 80204-1552
Country : US
Telephone Number : 970-391-4303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 05/31/2024

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Directions to “ CHARLES SCOTT KOPEL M.D.” Practice Location

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