Provider Demographics
NPI:1861434953
Name:COOPER, PATRICK BILL (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:BILL
Last Name:COOPER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5401 OLD YORK RD
Mailing Address - Street 2:KLEIN BUILDING, SUITE 400
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-3030
Mailing Address - Country:US
Mailing Address - Phone:215-456-6127
Mailing Address - Fax:215-456-7223
Practice Address - Street 1:5401 OLD YORK RD
Practice Address - Street 2:KLEIN BUILDING, SUITE 400
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-3030
Practice Address - Country:US
Practice Address - Phone:215-456-6127
Practice Address - Fax:215-456-7223
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2023-03-13
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Provider Licenses
StateLicense IDTaxonomies
PAMD431334207T00000X, 207T00000X
VA0101243743207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery