Active NPI
Bruce Keven Cox, PA-C
- Medical Physician Assistant
- Ft Benning, GA
National Provider Identifier
1104926963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 003199
- Practice address
- Martin Army Community Hospital
Building 9200
Ft Benning, GA 31905 - Phone
- (706) 544-3912
- Fax
- (706) 544-2790
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 003199 | GA | Primary |
Addresses
Primary practice location
Martin Army Community Hospital
Building 9200
Ft Benning, GA 31905
Mailing address
Martin Army Community Hospital
6600 Van Aalst Blvd
Ft Moore, GA 31905
Phone (706) 544-5014
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)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003199 | GA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1104926963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MARTIN ARMY COMMUNITY HOSPITAL",
"address_2": "6600 VAN AALST BLVD",
"city": "FT MOORE",
"state": "GA",
"postal_code": "31905",
"telephone_number": "706-544-5014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MARTIN ARMY COMMUNITY HOSPITAL",
"address_2": "BUILDING 9200",
"city": "FT BENNING",
"state": "GA",
"postal_code": "31905",
"telephone_number": "706-544-3912",
"fax_number": "706-544-2790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COX",
"first_name": "BRUCE",
"middle_name": "KEVEN",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2023-12-14",
"certification_date": "2023-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "003199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Benning, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.