MEDICARE: DR. WILLIAM P. KOPFLER 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
1	207RC0000X	Cardiovascular Disease Physician	207RC00004	LA
2	207RI0011X	Interventional Cardiology Physician	MD.020046	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	060035185	OTHER	LA	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1912903816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM P. KOPFLER M.D.

Provider Business Mailing Address
First Line	:	16070 DOCTORS BLVD
Second Line	:
City	:	HAMMOND
State	:	LA
Zip	:	70403-1478
Country	:	US
Telephone Number	:	985-542-5972
Fax Number	:	985-318-3417

Provider Business Practice Location Address
First Line	:	16070 DOCTORS BLVD
Second Line	:
City	:	HAMMOND
State	:	LA
Zip	:	70403-1478
Country	:	US
Telephone Number	:	985-542-5972
Fax Number	:	985-318-3417

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	09/25/2017

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Directions to “ DR. WILLIAM P. KOPFLER M.D.” Practice Location

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