WALTER E KOPPENBRINK MD LTD NPI 1588812028

NPI Information

  • NPI: 1588812028
  • Provider Name: WALTER E KOPPENBRINK MD LTD
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Doing Business As: KOPPENBRINK INTERNAL MEDICINE
  • Address: 4350 E CAMELBACK RD
    STE F-100
    PHOENIX, AZ
    ZIP 85018
  • Phone: (602) 955-8700

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NPI Details

WALTER E KOPPENBRINK MD LTD is a gastroenterology internal medicine in Phoenix, AZ. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. WALTER E KOPPENBRINK MD LTD NPI is 1588812028. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Koppenbrink Internal Medicine.

The provider's business location address is:

4350 E CAMELBACK RD
STE F-100
PHOENIX, AZ
ZIP 85018-701
Phone: (602) 955-8700
Fax: (602) 553-8142

The provider's authorized official is Joan Koppenbrink .
The authorized official title is Practice Manager/corp Sec and has the following contact phone number (602) 228-4051.

The enumeration date for this NPI number is 9/8/2008 and was last updated on 11/3/2015.

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 Medicine11324ARIZONANo
2207RG0100XInternal MedicineGastroenterology11324ARIZONAYes

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
1102723MEDICARE PIN
2D44130MEDICARE UPIN

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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