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

Dr. Rafael Eugenio Coplin Reynoso, MD

Individual provider Internal Medicine Physician · NPI 1427095702

Dr. Rafael Eugenio Coplin Reynoso, MD is an Internal Medicine in Bismarck, North Dakota. Qualified in 1993, 33 years ago. Practices with Upstate Ny Doctor of Medicine PLLC, a 27-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois, Kentucky and West Virginia.

Years since qualifying
33
Licensed in
IL, KY, WV
In the registry since
2006
Specialties on file
5
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

900 E Broadway Ave
Bismarck, ND 58501-4520
Phone: (701) 530-4777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2300 N Edward St, Decatur, IL 62526-4163 — (217) 876-4200

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 25875 (WV)
Internal Medicine Physician Taxonomy 207R00000X · Licence 45519 (KY)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 036155263 (IL)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 036155263 (IL)
Hospitalist Physician Taxonomy 208M00000X · Licence 45519 (KY)

Record details

NPI number1427095702
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESMarch 30, 2022
Certification dateMarch 30, 2022

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Upstate Ny Doctor Of Medicine Pllc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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