OLIVER BURTON COOPERMAN M.D. NPI 1366599938

NPI Information

  • NPI: 1366599938
  • Provider Name: OLIVER BURTON COOPERMAN, M.D.
  • Classification: Psychiatry & Neurology - 2084P0802X
  • Specialization: Addiction Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2155 W STATE ROUTE 89A
    SUITE 203
    SEDONA, AZ
    ZIP 86336
  • Phone: (928) 282-1233

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NPI Details

Oliver Burton Cooperman, M.D. is an addiction psychiatry psychiatry neurology in Sedona, AZ. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. Oliver Burton Cooperman, M.D. NPI is 1366599938. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2155 W STATE ROUTE 89A
SUITE 203
SEDONA, AZ
ZIP 86336-468
Phone: (928) 282-1233
Fax: (928) 282-2560

The NPI 1366599938 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 8/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatry7457MONTANANo
22084P0800XPsychiatry & NeurologyPsychiatry4157AWYOMINGNo
32084P0800XPsychiatry & NeurologyPsychiatry36869ARIZONANo
42084P0800XPsychiatry & NeurologyPsychiatryG22895CALIFORNIANo
52084P0802XPsychiatry & NeurologyAddiction PsychiatryG22895CALIFORNIANo
62084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry36869ARIZONANo
72084P0802XPsychiatry & NeurologyAddiction PsychiatryM11089IDAHONo
82084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryG22895CALIFORNIANo
92084P0802XPsychiatry & NeurologyAddiction Psychiatry7457MONTANANo
102084P0802XPsychiatry & NeurologyAddiction Psychiatry4157AWYOMINGNo
112084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry7457MONTANANo
122084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry4157AWYOMINGNo
132084P0802XPsychiatry & NeurologyAddiction Psychiatry36869ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1211925MEDICAIDARIZONA
20086445MEDICAIDMONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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