Dr. Charles Ian Cooperberg
Nephrologist
4419 Ben Franklin Blvd
Durham
, North Carolina 27704-2147
Dr. Charles Ian Cooperberg
Nephrologist
4419 Ben Franklin Blvd
Durham
, North Carolina 27704-2147
(919) 477-5526
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Charles Ian Cooperberg
- 4419 Ben Franklin Blvd
- Durham, NC
- Zip : 27704-2147
- Fax : (919) 477-5526
- Phone : (919) 477-3005
Second Address
- Dr. Charles Ian Cooperberg
- 4419 Ben Franklin Blvd
- Durham, NC
- Zip : 27704-2147
- Fax : (919) 477-5526
- Phone : (919) 477-3005
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | 32098 | NC |
National Provider Identifier
| NPI | 1073530655 |
|---|---|
| Provider Name | Dr. Charles Ian Cooperberg |
| First Address | Durham, NC 27704-2147 |
| Second Address | Durham, NC 27704-2147 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2006 |
| Last Update Date | 18/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8924146 | (05) | NC |
| C83342 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.