Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark W Cooper, MD, MBA

Individual provider Diagnostic Radiology Physician · NPI 1306831326

Dr. Mark W Cooper, MD, MBA is a Diagnostic Radiology in Philadelphia, Pennsylvania. Graduated from Jefferson Medical College of Thomas Jefferson University in 1977, 49 years ago. Practices with Reono Bertagnolli a Medical Group, a 47-clinician group and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
49
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
NJ, PA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

2301 S Broad St Ste 205A
Philadelphia, PA 19148-3542
Phone: (215) 952-9153
Fax: (215) 952-1255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD021440E (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 25MA07499200 (NJ)

Record details

NPI number1306831326
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MBA
Sole proprietorNo
NPI enumeratedSeptember 15, 2005
Last updated in NPPESDecember 16, 2014

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 1977 (49 years in practice)
Group practice Reono Bertagnolli A Medical Group — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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