Male or Other

Dr. Timothy C. Cooper M.D.

Internal Medicine Physician in Brookfield, WI(View on Map)

Full Name

Dr. Timothy Chung Cooper M.D.

NPI Number

1225456296

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/06/2014

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Licenses

State

Illinois
Wisconsin

License Number

036142168
69423-20

Contact
Information

Purpose

Mailing
Location

Address

16985 W BLUEMOUND RD
16985 W BLUEMOUND RD

City

Brookfield
Brookfield

State

WI
WI

Postal Code

53005-5909
53005

Country

US
US

Telephone Number

N/A
(262) 641-8400

Identifiers

Identifier

100080432

Identifier State

WI

Identifier Issuer

Unknown

Health Information Exchange

Endpoint Type

DIRECT
FHIR

Endpoint

tcooper203859@direct.myadvocateaurora.org
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Endpoint Description

Unknown
Unknown

Use

Direct
Unknown

Content Type

Unknown
Unknown

Affiliation

N
N

Endpoint Location

16985 W Bluemound RdBrookfield, WI53005US
16985 W Bluemound RdBrookfield, WI53005US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/30/2021

Provider Address

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