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Carter Cooper

Student in an Organized Health Care Education/Training Program in Birmingham, AL. Individual provider (NPI-1).

NPI number1023901949
StatusActive
Last updated in NPPESMay 30, 2025

Details

NPI
1023901949
Entity type
Individual (NPI-1)
Name
Carter Cooper
Sex
Male
Sole proprietor
Yes
Enumeration date
May 30, 2025
Certification date
May 19, 2025
Last updated
May 30, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–ALYes

Practice location

1919 17th Avenue South
Birmingham, AL 35233

Phone 205-934-3387

Mailing address

648 Bienville Ln
Birmingham, AL 35213-2014

Phone 256-458-4493

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Birmingham, AL

All 2,031 Student in an Organized Health Care Education/Training Program providers in Birmingham · All 18,836 providers in Birmingham

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