Individual ProviderBrian CooperSocial WorkerBehavioral Health & Social Service ProvidersPractice Address510 Duxbury Ct Apt A, Safety Harbor, FL 34695-4316(727) 754-4936PECOS EnrollmentBased on the most recent information from CMS, provider Brian Cooper is legally eligible to order and refer claims for DME services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1285140186Provider TypeIndividualFull NameCooper, BrianGenderMaleSole ProprietorYesEnumeration Date12/15/2017Last Updated12/15/2017Contact InformationPractice LocationPractice Address510 Duxbury Ct Apt A, Safety Harbor, FL 34695-4316Phone(727) 754-4936Fax(866) 496-4382Mailing LocationMailing Address510 Duxbury Ct Apt A, Safety Harbor, FL 34695-4316Phone(727) 754-4936Fax(866) 496-4382Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseSW13681Florida