DR. BRIAN EZAR COOPER (M.D.) – Emergency Medicine Physician, NPI 1073673166

DR. BRIAN EZAR COOPER (M.D.) is a healthcare provider. based in Fort defiance, Arizona. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 053582 (GA). The NPI Number for DR. BRIAN EZAR COOPER (M.D.) is 1073673166

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN EZAR COOPER (M.D.)
NPI
1073673166
Phone
(928) 729-8600
Address
CORNER OF RT N7 AND N12
Enumeration Date
11 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
9704939193
Graduation Year
2001 (25 years ago)
PAC ID
6305810631
Group Practice PAC ID
5597136218
Professional Enrollment ID
I20110825000552
Address ID
CO805244044FO1120XSTXX413
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,179 EMERGENCY MEDICINE in AZ

Provider Addresses for DR. BRIAN EZAR COOPER (M.D.)

  • CORNER OF RT N7 AND N12

    P.O. BOX 649

    FORT DEFIANCE, AZ 865040649

    Phone: (928) 729-8600

    Fax: (928) 729-8624

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-04-18 • Largest payer in this snapshot: Gilead Sciences, Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Gilead Sciences, Inc.$18
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-08-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110825000552IEmergency MedicineCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making5050$0
99285Emergency department visit with high level of medical decision making4545$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3030$0
99283Emergency department visit with low level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 86504)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597136218View full group profile
NameSpecialtyState
Nurse PractitionerCO
Physician AssistantCO
Physician AssistantCO
Physician AssistantIA
Physician AssistantCO
Nurse PractitionerCO
Nurse PractitionerNM
Nurse PractitionerTX
Nurse PractitionerCO
Physician AssistantTX

Reviews

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Frequently asked questions

What is the standard ID for DR. BRIAN EZAR COOPER (M.D.) in the U.S.?
In the U.S., DR. BRIAN EZAR COOPER (M.D.) is identified by NPI 1073673166.
Quick check: is DR. BRIAN EZAR COOPER (M.D.) active?
Public NPPES data shows DR. BRIAN EZAR COOPER (M.D.) with an active NPI status right now.
What does the directory say DR. BRIAN EZAR COOPER (M.D.) does?
Insurance directories may phrase it differently, but here DR. BRIAN EZAR COOPER (M.D.) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. BRIAN EZAR COOPER (M.D.) in Fort Defiance, Arizona?
For routing, start with Fort Defiance, Arizona for DR. BRIAN EZAR COOPER (M.D.), then verify phone and hours locally.
Why is information missing for DR. BRIAN EZAR COOPER (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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