Breland Juwan Cospy
Driver in Trotwood, OH. Individual provider (NPI-1).
NPI number1043979412
StatusActive
Last updated in NPPESDec 14, 2021
Details
- NPI
- 1043979412
- Entity type
- Individual (NPI-1)
- Name
- Breland Juwan Cospy
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 14, 2021
- Certification date
- Dec 14, 2021
- Last updated
- Dec 14, 2021
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | UH298850 | OH | Yes |
Practice location
317 Stubbs DrTrotwood, OH 45426-3160
Phone 937-815-4673
Mailing address
317 Stubbs DrTrotwood, OH 45426-3160
Phone 937-815-4673
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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.
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All 8 Driver providers in Trotwood · All 311 providers in Trotwood
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