Organization Active NPI

Timothy L Cocks MD PA

  • Family Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1043408628
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME74249 Issued in FL
Legal business name
TIMOTHY L COCKS MD PA
Practice address
2000 38TH Ave
Vero Beach, FL 32960-2451
Phone
(772) 794-2227
NPI assigned
Oct 9, 2007
Last updated
May 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Timothy L Cocks, MD PANPI 1154414217
Title
Physician
Phone
(772) 794-2227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME74249 FL Primary

Addresses

Primary practice location

2000 38TH Ave
Vero Beach, FL 32960-2451

Mailing address

2000 38TH Ave
Vero Beach, FL 32960-2451
Phone (772) 794-2227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050806000009 FL Part B Supplier - Clinic/Group Practice 9830128289 Receives reassigned benefits from 2 practitioners
Practice locations: Vero Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1043408628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 38TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602451",
            "telephone_number": "772-794-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 38TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602451",
            "telephone_number": "772-794-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY L COCKS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "COCKS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "772-794-2227",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME74249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.