VIDETTE V COOPER MD NPI 1568420107

NPI Information

  • NPI: 1568420107
  • Provider Name: VIDETTE V COOPER, MD
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • Address: 803 TILGHMAN DR
    SUITE 100
    DUNN, NC
    ZIP 28334
  • Phone: (910) 892-1091

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NPI Details

Vidette V Cooper, MD is an internal medicine in Dunn, NC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Vidette V Cooper, MD NPI is 1568420107. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

803 TILGHMAN DR
SUITE 100
DUNN, NC
ZIP 28334-509
Phone: (910) 892-1091
Fax: (910) 892-1097

The enumeration date for this NPI number is 5/3/2006 and was last updated on 3/11/2014.

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
1207R00000XInternal Medicine22230SOUTH CAROLINAYes

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
1H32286MEDICARE UPINSOUTH CAROLINA
2H322867153MEDICARE PINSOUTH CAROLINA
3GP1883OTHERSOUTH CAROLINAMEDICAID GROUP
45909335MEDICAIDNORTH CAROLINA
5T64356MEDICAIDSOUTH CAROLINA
6H322867508MEDICARE PINSOUTH CAROLINA
72022108MEDICARE PINNORTH CAROLINA
8GP4306OTHERSOUTH CAROLINAMEDICAID GROUP
9764356MEDICAIDSOUTH CAROLINA
10GP4840OTHERSOUTH CAROLINAMEDICAID GROUP

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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