Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mark J. Cooper, MD

Individual provider Family Medicine Physician · NPI 1063481182

Dr. Mark J. Cooper, MD is a Family Practice in Crestview, Florida. Graduated from Oregon Health Sciences University School of Medicine in 1999, 27 years ago. Practices with Sacred Heart Health System Inc, a 373-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
27
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

550 Redstone Ave W Ste 200
Crestview, FL 32536-6430
Phone: (850) 682-6122
Fax: (850) 682-5917
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME90602 (FL)

Record details

NPI number1063481182
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 14, 2006
Last updated in NPPESJune 24, 2010
Mailing addressPo Box 2699, Pensacola, FL 32513-2699

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Sacred Heart Health System Inc — 373 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Crestview