Individual provider Active NPI

Brent Lee Cobb, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Anniston, AL
National Provider Identifier
1184040388
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-096772 Issued in AL
Practice address
331 E 8TH St
Anniston, AL 36207-5731
Phone
(256) 236-3403
NPI assigned
Mar 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-096772 AL Primary

Addresses

Primary practice location

331 E 8TH St
Anniston, AL 36207-5731

Mailing address

331 E 8TH St
Anniston, AL 36207-5731
Phone (256) 236-3403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160211000748 AL Practitioner - Nurse Practitioner 6103120159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University Alabama Birmingham - School of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Health SystemsGroup PAC ID 5991876179, 3 clinicians

Practice addresses (Care Compare)

150 Tompkins St
Heflin, AL 36264-1836
Phone (256) 463-2969

331 E 8TH St
Anniston, AL 36207-5731
Phone (256) 236-3403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-096772ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Health Systems CurrentSince Jan 8, 2016 Accepting new patients
Highland Health Systems Past Accepting new patients

Locations

331 E 8th St
Anniston, AL 36207
Phone (256) 236-3403

150 Tompkins St
Heflin, AL 36264
Phone (256) 463-2390

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/highlandhealthsystems/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1184040388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 E 8TH ST",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075731",
            "telephone_number": "256-236-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 E 8TH ST",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075731",
            "telephone_number": "256-236-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "BRENT",
        "middle_name": "LEE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-096772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.