JON W COPELAND DO PA NPI 1649304486

NPI Information

  • NPI: 1649304486
  • Provider Name: JON W COPELAND DO PA
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 808 WOODROW WILSON RAY CIR
    BRIDGEPORT, TX
    ZIP 76426
  • Phone: (940) 683-2297

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NPI Details

JON W COPELAND DO PA is a family medicine in Bridgeport, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JON W COPELAND DO PA NPI is 1649304486. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

808 WOODROW WILSON RAY CIR
BRIDGEPORT, TX
ZIP 76426-061
Phone: (940) 683-2297
Fax: (940) 683-2984

The provider's authorized official is Jon W Copeland .
The authorized official title is Doctor and has the following contact phone number (940) 683-2297.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 6/12/2008.

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
1207Q00000XFamily MedicineDOF9325TEXASYes

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
1080100301MEDICAIDTEXAS
2D97292MEDICARE UPINTEXAS
300186NMEDICARE ID-TYPE UNSPECIFIEDTEXAS

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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