Elizabeth Cockrum, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

13580 Issued in AL

Practice address

850 5TH Ave E
Tuscaloosa, AL 35401-7419

Phone

(205) 348-1770

Fax

(205) 348-7988

NPI assigned

Jan 25, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• bcbs alabama network 01E0
• bcbs alabama network 01H0
• bcbs alabama network 01C0
• bcbs alabama network 01A0
• bcbs alabama network 01B0
• bcbs alabama network 01G0

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/3d32fa57-0589-4d21-9742-97970793cb6a/
• Direct secure messaging: drcockrum@westalabamapediatrics.opdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bruce a Petitt M.D. P.C.

  • Pediatrics Physician
  • Tuscaloosa, AL
  • NPI 1013077205
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1013987692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 5TH AVE E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017419",
            "telephone_number": "205-348-1770",
            "fax_number": "205-348-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 5TH AVE E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017419",
            "telephone_number": "205-348-1770",
            "fax_number": "205-348-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKRUM",
        "first_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "13580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000019629",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Fox Clements, D.M.D.
• Kelton Jon Clinner
• Stella A Clough, MSW
• Cnop LLC
• Daphne Lavette Cockrell-James
• Cogent Healthcare of Decatur, LLC
• Lynette Hardy Coker, CRNP
• Melissa Brooke Coker, LPC-S
• Mary Ellen Cole, MSN,CRNP
• Aeriel L Coleman, DPT

• Pediatrics Physician in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.