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NPI Code Detail

MEDICARE: BRIAN J. COPPINGER MD

MEDICARE: BRIAN J. COPPINGER MD
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
1207Q00000XFamily Medicine Physician01070785AIN

General Provider Information

NPI Number : 1649407685
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN J. COPPINGER MD
Provider Business Mailing Address
First Line : 503 GREENWOOD TRACE DR
Second Line :
City : WHITELAND
State : IN
Zip : 46184-9278
Country : US
Telephone Number : 317-535-7447
Fax Number :
Provider Business Practice Location Address
First Line : 503 GREENWOOD TRACE DR
Second Line :
City : WHITELAND
State : IN
Zip : 46184-9278
Country : US
Telephone Number : 317-535-7447
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2009
Last Update Date : 04/30/2021

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