THEODORE KOPP, MD, Pain Medicine MOBILE, AL

Contact Information

THEODORE KOPP, MD

6720 GRELOT ROAD SUITE A
SUITE 1B
MOBILE, AL 36695-2676

Phone: 251-633-5155
Fax: 251-633-5125
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Pain Medicine	2081P2900X	25	Physician/Physical Medicine and Rehabilitation
Neuromuscular Medicine	2081N0008X	25	Physician/Physical Medicine and Rehabilitation
Physical Medicine & Rehabilitation	208100000X	25	Physician/Physical Medicine and Rehabilitation
Sports Medicine	2081S0010X	25	Physician/Physical Medicine and Rehabilitation

Indicates primary specialty

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NPI Profile & details for THEODORE KOPP · (Male)

NPI Number	`1437348711`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	10/23/2007
Last updated	02/04/2021 - About 5 years ago
Sole proprietor ¹	Yes
Identifiers	AL License # 30966 AL Medicaid 182198 AL Other 511-70139 BCBS OF AL
Hospital affiliation(s)	MOBILE INFIRMARY - (Acute Care) 5 MOBILE INFIRMARY CIRCLE MOBILE, AL 36652 PROVIDENCE HOSPITAL - (Acute Care) 6801 AIRPORT BOULEVARD MOBILE, AL 36608 SPRINGHILL MEDICAL CENTER - (Acute Care) 3719 DAUPHIN STREET MOBILE, AL 36608

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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