MR. PETER CHRISTOPHER KOEPP PA-C NPI 1497867907

NPI Information

NPI: 1497867907
Provider Name: MR. PETER CHRISTOPHER KOEPP, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
2817 REILLY ST
FORT BRAGG, NC
ZIP 28310
Phone: (910) 396-7775
Get Directions

MR. Peter Christopher Koepp, PA-C is a medical physician assistant in Fort Bragg, NC. MR. Peter Christopher Koepp, PA-C NPI is 1497867907. 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:

2817 REILLY ST
FORT BRAGG, NC
ZIP 28310-324
Phone: (910) 396-7775

The NPI 1497867907 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 8/31/2006 and was last updated on 6/9/2011.

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
1	363AS0400X	Physician Assistant	Surgical	PA05201	TEXAS	No
2	363AM0700X	Physician Assistant	Medical	0010-02309	NORTH CAROLINA	Yes

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
1	8Y0987	OTHER	TEXAS	BLUE CROSS
2	8J5616	MEDICARE PIN	TEXAS
3	Q55760	MEDICARE UPIN	TEXAS
4	186438101	MEDICAID	TEXAS

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: 11/14/2023

NPI Synchronization or Removal

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