NPIMap

Individual provider Active NPI

Vincent Bryan Lococo, MD

  • Family Medicine Physician
  • Springhill, LA
National Provider Identifier
1093745648
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
021984 Issued in LA
Practice address
401 11TH St NE
Springhill, LA 71075-4503
Phone
(318) 539-1701
NPI assigned
Jul 3, 2006
Last updated
May 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 021984 LA Primary

Addresses

Primary practice location

401 11TH St NE
Springhill, LA 71075-4503

Mailing address

106 Tri State Dr
Sarepta, LA 71071-2826
Phone (318) 994-2266

Other practice location 1

2001 Doctors Dr
Springhill, LA 71075-4526
Phone (318) 994-2266

Other identifiers 2

IdentifierTypeStateIssuer
143688001MedicaidAR
1999814MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vincent.lococo@smcdc.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, AR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050125000944 LA Practitioner - Emergency MedicinePractitioner - Family Practice 3173435955 Reassigns benefits to 3 organizations
I20071213000371 AR Practitioner - Family Practice 3173435955 Practice locations: Taylor, AR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine Associates of Minden, LLCGroup PAC ID 2567417850, 12 clinicians
Minden Physician Practices LLCGroup PAC ID 4789720004, shared by 4 NPIs, 48 clinicians
Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians

Practice addresses (Care Compare)

1111 Homer Rd
Minden, LA 71055-3027

2001 Doctors Dr
Springhill, LA 71075-4526
Phone (318) 539-1000

401 11TH St NE
Springhill, LA 71075-4503
Phone (318) 539-1700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
021984LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Nov 3, 2022 Accepting new patients
Springhill Medical Services, Inc. Family Medicine CurrentSince Oct 3, 2011 Accepting new patients
Minden Physician Practices LLC Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Minden Physician Practices LLC Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Nov 3, 2022 Accepting new patients
Lococo Medical Consultant Family Medicine Past Accepting new patients
Regional Hospice Care Group Nwla, LLC Family Medicine Past Accepting new patients
Summit Health & Rehabilitation, LLC Past Accepting new patients
Minden Community Care Center, LLC Past Accepting new patients
Commcare Corporation Past Accepting new patients
Nes Louisiana Inc PastSince Jul 10, 2022 Accepting new patients
PMG Opco-Pilgrim LLC Past Accepting new patients
C & M Medical Services, Inc. Past Accepting new patients

Locations

1524 Doctors Dr
Bossier City, LA 71111
Phone (318) 742-1623

4770 Brandon Blvd
Bossier City, LA 71111

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

170 Healthcare Plaza Dr
Haughton, LA 71037
Phone (318) 382-7299

165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435

635 Schley St
Mansfield, LA 71052
Phone (318) 871-0402

1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042

101 Murrell St
Ste 3
Minden, LA 71055
Phone (318) 371-4050

1111 Homer Rd
Minden, LA 71055
Phone (318) 377-7500

614 Weston St
Minden, LA 71055
Phone (318) 377-5148

106 Tri State Dr
Sarepta, LA 71071
Phone (318) 994-2266

2001 Doctors Dr
Springhill, LA 71075
Phone (318) 539-1000

401 11th St NE
Springhill, LA 71075
Phone (318) 539-1700

Interoperability endpoints

  • Direct secure messaging: minvlococ@yourcarecommunity.org
  • Direct secure messaging: vincent.lococo.1@3681.direct.athenahealth.com
  • Direct secure messaging: vincent.lococo.2@3681.direct.athenahealth.com
  • Direct secure messaging: vincent.lococo@smcdc.eclinicaldirectplus.com

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1093745648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 TRI STATE DR",
            "city": "SAREPTA",
            "state": "LA",
            "postal_code": "710712826",
            "telephone_number": "318-994-2266",
            "fax_number": "318-539-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 11TH ST NE",
            "city": "SPRINGHILL",
            "state": "LA",
            "postal_code": "710754503",
            "telephone_number": "318-539-1701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Doctors Dr",
            "address_purpose": "LOCATION",
            "city": "Springhill",
            "state": "LA",
            "postal_code": "710754526",
            "country_code": "US",
            "telephone_number": "318-994-2266",
            "fax_number": "318-539-9177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCOCO",
        "first_name": "VINCENT",
        "middle_name": "BRYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "021984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143688001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1999814",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vincent.lococo@smcdc.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "one direct address for all providers goes to facility",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "401 11th St NE",
            "city": "Springhill",
            "state": "LA",
            "country_code": "US",
            "postal_code": "710754503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springhill, LA

Sources for this page

Verify at the official NPI Registry.