Individual provider Active NPI

Daniel Sherman Fockele, M.D.

  • Specialist
  • Anniston, AL
National Provider Identifier
1104823392
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
16343 Issued in AL
Practice address
425 E 10TH St
Suite B
Anniston, AL 36207-4787
Phone
(256) 236-3485
Fax
(256) 237-3787
NPI assigned
Jul 1, 2005
Last updated
Mar 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 16343 AL Primary

Addresses

Primary practice location

425 E 10TH St
Suite B
Anniston, AL 36207-4787

Mailing address

425 E 10TH St
Suite B
Anniston, AL 36207-4787
Phone (256) 236-3485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1104823392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E 10TH ST",
            "address_2": "SUITE B",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074787",
            "telephone_number": "256-236-3485",
            "fax_number": "256-237-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E 10TH ST",
            "address_2": "SUITE B",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074787",
            "telephone_number": "256-236-3485",
            "fax_number": "256-237-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOCKELE",
        "first_name": "DANIEL",
        "middle_name": "SHERMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "16343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.