Gary William Cockrell, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

DPM0000000353 Issued in TN

Practice address

785 Old Hickory Blvd
Suite 101
Brentwood, TN 37027-4512

Phone

(615) 370-8880

Fax

(615) 370-9039

NPI assigned

Feb 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cutting Edge Foot and Ankle Clinic, PLLCGroup PAC ID 2860723103, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19521/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/IGDECD/Endpoint/IGDECD

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.

• Cutting Edge Foot and Ankle Clinic, PLLC

  • Podiatric Clinic/Center
  • Nashville, TN
  • NPI 1154889533
  Medicare reassignment Care Compare group NPD
• Footcare USA, PLLC

  • Podiatrist
  • Nashville, TN
  • NPI 1083597116
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hti Memorial Hospital Corporation

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1295780476
  Care Compare affiliation

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1053452128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 OLD HICKORY BLVD",
            "address_2": "SUITE 101",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274512",
            "telephone_number": "615-370-8880",
            "fax_number": "615-370-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 OLD HICKORY BLVD",
            "address_2": "SUITE 101",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274512",
            "telephone_number": "615-370-8880",
            "fax_number": "615-370-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKRELL",
        "first_name": "GARY",
        "middle_name": "WILLIAM",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "DPM0000000353",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TN",
            "license": "DPM0000000353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL EMPLOYER TAX ID #",
            "identifier": "621451791",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kandice Cobb
• Ethel Marie Cobbett, M.D.
• Brandon Coby
• Ryan Leigh Cochran, M.S., CCC-SLP
• Craig Cockburn
• Benjamin Forrest Cohen
• Lynn Faust Cohen, MA, MSSW, LCSW
• Dalmacio Colasito
• Jessica Cole
• Sarah Cole, MCD CCC-SLP

• Foot Surgery Podiatrist in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Foot Surgery Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.