DR. BENJAMIN ROBERT COOPER DO
NPI 1003518184
Student in an Organized Health Care Education/Training Program in Orange Park, FL

Active since March 21, 2023PECOS Enrolled
2001 KINGSLEY AVE, ORANGE PARK, FL 32073(904) 639-8500 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Benjamin Robert Cooper Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BENJAMIN ROBERT COOPER DO (NPI 1003518184) is an individual student in an organized health care education/training program in Orange Park, Florida and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003518184
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. BENJAMIN ROBERT COOPERCredential: DO
Location Address2001 KINGSLEY AVEOrange Park, FL 32073-5148
Mailing Address2001 Kingsley AveOrange Park, FL 32073-5148 · (904) 639-8242
Sole ProprietorNo
Enumeration DateMarch 21, 2023
NPPES CertifiedMarch 21, 2023
NPI 1003518184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2001 KINGSLEY AVE, Orange Park, FL 32073

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Benjamin Robert Cooper Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Anesthesiology
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Anesthesiology
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Anesthesiology
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Nurse Practitioner
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Emergency Medicine
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Pathology (Anatomic Pathology & Clinical Pathology)
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Emergency Medicine
2001 KINGSLEY AVE, ORANGE PARK MEDICAL CENTER EMERGENCY DEPARTMENT
ORANGE PARK, FL 32073

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003518184, enumerated as an "individual" on March 21, 2023.

The provider is located at 2001 KINGSLEY AVE ORANGE PARK, FL 32073 and the phone number is (904) 639-8500.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.