Gary William Cockrell in Brentwood - Podiatrist
Gary William Cockrell - NPI 1053452128
Gary William Cockrell is a Podiatrist in Brentwood, Tennessee. Gary William Cockrell practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Gary William Cockrell is 1053452128. The last update date is 2013-06-04.
Gary William Cockrell's current location address is 785 Old Hickory Blvd, Brentwood, Tennessee. You can contact this provider via phone number 6153708880 and fax number 6153709039. The mailing address for Gary William Cockrell is 785 Old Hickory Blvd, Brentwood, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gary William Cockrell |
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Address | 785 Old Hickory Blvd, Brentwood, Tennessee |
Phone Number | 6153708880 |
Fax Number | 6153709039 |
Sole Proprietor | Y |
Credentials | D.P.M. |
NPI Number Detail
NPI Number | 1053452128 |
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Provider Enumeration Date | 2007-02-09 |
Last Updated Date | 2013-06-04 |
Provider Mailing Address Detail
Address | 785 Old Hickory Blvd |
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City | Brentwood |
State | Tennessee (TN) |
Post Code | 370274512 |
Phone Number | 6153708880 |
Fax Number | 6153709039 |
Provider's Primary Taxonomy Detail
Speciality | Podiatrist |
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Taxonomy | 213E00000X |
Licence No | DPM000000035 |
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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621451791 | TN | FEDERAL EMPLOYER TAX ID # |
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What is the unique 10-digit identification code issued to Gary William Cockrell by the Centers for Medicare & Medicaid Services?
The Gary William Cockrell has been assigned the NPI (National Provider Identifier) 1053452128 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Gary William Cockrell is geographically located?
The Gary William Cockrell is physically situated at the following location: 785 Old Hickory Blvd, Brentwood, TN, 370274512.
What is the Gary William Cockrell's area of specialization and corresponding taxonomy classification?
The Gary William Cockrell's specialty field is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their specialties.
On what date did the Gary William Cockrell receive its 1053452128 assignment from the Centers for Medicare & Medicaid Services?
The Gary William Cockrell was assigned its 1053452128 by the Centers for Medicare & Medicaid Services on 2007-02-09.
When was the information regarding Gary William Cockrell most recently updated?
The details pertaining to the Gary William Cockrell, including its address, specialty, and other relevant information, were last refreshed on 2013-06-04.
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