Alden G Cockburn, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD2004-0101 Issued in NM

Practice address

1399 Weimer Road
# 600B
Taos, NM 87571-6351

Phone

(505) 751-0334

Fax

(505) 751-0297

NPI assigned

Sep 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2508/brand/3/csg/1/fhir/r4

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.

• Sierra Vista Internal Medicine, PLLC

  • Legal Medicine
  • Sierra Vista, AZ
  • NPI 1831397512
  NPD
• Alden G Cockburn MD

  • Specialist
  • Taos, NM
  • NPI 1578738381
  NPD (past)
• Taos Surgical Specialties LLC

  • Specialist
  • Taos, NM
  • NPI 1013115062
  NPD (past)

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1225135791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 WEIMER ROAD",
            "address_2": "# 600B",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716351",
            "telephone_number": "505-751-0334",
            "fax_number": "505-751-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 WEIMER ROAD",
            "address_2": "# 600B",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716351",
            "telephone_number": "505-751-0334",
            "fax_number": "505-751-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKBURN",
        "first_name": "ALDEN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NM",
            "license": "MD2004-0101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC #",
            "identifier": "MD2004-0101",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00NM009M74",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29805325",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith E. Christian, D.O.M.
• Janice L Chua
• Christine Armell Ciceri, D.O.M.
• Jessica Cisneros
• Edwina Claire
• Rose Marie Codova, LMSW
• Brittney Coe, PA-C
• Sam Coffman
• Cindy Collyer
• Shayla B Colton

• Urology Physician in Taos, NM
• Providers in Taos, NM by specialty
• Urology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.