Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649155359 Individual Practitioner

Cooper A Blum

Physician Assistant • Gilbert, AZ

Professional Overview & Biography Verified Profile Summary

Cooper Blum is a registered healthcare professional specializing in Physician Assistant in Gilbert, AZ. Practice services are available at 2946 E BANNER GATEWAY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2946 E Banner Gateway Dr

Gilbert, AZ 852342165

Telephone 4802566444
Associated Practice Facility / Clinic
🏢 Banner Pharmacy Services Llc Facility NPI 1306231139

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Gilbert, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
238 Specialists

Practicing in Gilbert, AZ (3711 Statewide)

Telehealth Adoption Rate
17.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-16
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 11704

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Ahmed Al-Niaimi , MD

Obstetrics & Gynecology - Gynecologic Oncology

NPI 1003958539

Doctor of Medicine (M.D.)

Dr. Soyoung Park , MD

Internal Medicine - Hematology & Oncology

NPI 1013279256

Doctor of Medicine (M.D.)

Dr. Michelle Locke , DNP, AGNP-C, RNFA

Nurse Practitioner - Adult Health

NPI 1023309614

Doctor of Nursing Practice, Adult-Gerontology Nurse Practitioner (Certified), RNFA

Patrick Allred , MS, PA-C

Physician Assistant - Medical

NPI 1023559184

Master of Science, Physician Assistant (Certified)

Dr. Ala Eddin Sagar , MD

Internal Medicine - Pulmonary Disease

NPI 1033478268

Doctor of Medicine (M.D.)

Dr. Akshaar Brahmbhatt , MD

Radiology - Vascular & Interventional Radiology

NPI 1033564356

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2026

Physician Assistant (License #11704 in AZ)

📍
Updated Practice Location April 09, 2026

Registered at 2946 E BANNER GATEWAY DR, GILBERT, AZ 852342165 (Tel: 4802566444)

📍
Updated Business Mailing Address April 09, 2026

Registered at 2946 E BANNER GATEWAY DR, GILBERT, AZ 852342165 (Tel: 4802566444)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2026

Physician Assistant

NPI Profile Active August 11, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location August 11, 2025

Registered at 1260 ELM ST, MANCHESTER, NH 031011305 (Tel: 6033141701)

📍
Updated Business Mailing Address August 11, 2025

Registered at 1260 ELM ST, MANCHESTER, NH 031011305

👤
Provider Name / Credentials Updated August 11, 2025

Recorded as COOPER BLUM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 11, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1649155359
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2025
Last Update: June 16, 2026
Sole Proprietor: Yes

Mailing Address

2946 E Banner Gateway Dr

Gilbert, AZ 852342165

Phone: 4802566444

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.