Clay J Cockerell, MD

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

F9311 Issued in TX

Practice address

2110 Research Row
Suite 100
Dallas, TX 75235-2519

Phone

(214) 530-5200

Fax

(214) 530-5230

NPI assigned

Jan 18, 2006

Last updated

May 20, 2014By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

DermatologyAlso: Pathology

Education

Baylor College of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bare Derm Group IncGroup PAC ID 3274903307, 16 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Bare Derm Group Inc

  dba Bare Dermatology

  • Dermatology Physician
  • Dallas, TX
  • NPI 1053029348

  Dermatopathology

  Medicare reassignment Care Compare group NPD
• Cockerell Dermatology Consulting Services, PA

  • Dermatopathology Physician
  • Dallas, TX
  • NPI 1083769467
  Medicare reassignment NPD Authorized official
• Dermatology Treatment & Research Center, PA

  • Dermatology Physician
  • Dallas, TX
  • NPI 1710048368
  Medicare reassignment NPD
• University of Texas Southwestern Medical Center at Dallas

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1942270566
  Medicare reassignment NPD
• Cockerell Dermatopathology PA

  • Dermatopathology (Pathology) Physician
  • Dallas, TX
  • NPI 1528300837
  NPD (past) Authorized official
• Derm Texas LLC

  • Dermatology Physician
  • Dallas, TX
  • NPI 1386215002
  NPD
• The University of Texas Southwestern Medical Center at Dallas

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1396832713
  NPD
• University of Texas Southwestern Medical Center at Dallas

  • Dermatology Physician
  • Dallas, TX
  • NPI 1669442281
  NPD
• Dermatology Center of Plano

  • Dermatology Physician
  • Plano, TX
  • NPI 1992868426
  NPD (past)
• Nicole Reed Medical, PLLC

  dba Center for Dermatology & Cosmetic Laser Surgery

  • Dermatology Physician
  • Plano, TX
  • NPI 1013155480
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1235119298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 RESEARCH ROW",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752352519",
            "telephone_number": "214-530-5200",
            "fax_number": "214-530-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 RESEARCH ROW",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752352519",
            "telephone_number": "214-530-5200",
            "fax_number": "214-530-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKERELL",
        "first_name": "CLAY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TX",
            "license": "F9311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0019AY",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13737106",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Lee Cochran, FNP-C
• Kelly Marlene Cochran, APRN, CNM, FNP-BC
• Lorraine M Cochran, MS
• Cockerell Dermatology Consulting Services, PA
• Cockerell Dermatopathology PA
• Khiya Cockerham
• Meagan Winterlude Cockram, SLP ASSISTANT
• Cockrell Hill Dental, PLLC (Planet Dental & Orthodontics - Cockrell Hill)
• Coco Dental Center PLLC
• Brittany Dawn Code

• Dermatopathology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Dermatopathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.