JACK A. COPELAND MD – NPI #1780657841
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

JACK COPELAND is a radiologist located in ESPAÑOLA, NM. NPPES has assigned the NPI number 1780657841 to JACK COPELAND on February 09, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 16 years ago on Jan 25, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACK COPELAND below.

NPI Profile for
JACK A. COPELAND

NPI Number
1780657841
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JACK A. COPELAND
Credentials
MD
Primary location
1010 SPRUCE ST
ESPAÑOLA, NM 87532-3456
Phone: (505) 986-8468 Fax:
Mailing address
PO BOX 387
MARFA, TX 79843-0387
Phone: (432) 729-4608 Fax: (432) 729-4653
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
NM 97-213

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.