Bernard M Cooke Jr MD Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BERNARD M COOKE JR MD INC

Practice address

12626 Riverside Dr Ste 503
North Hollywood, CA 91607-3462

Phone

(818) 980-1088

NPI assigned

May 2, 2012

Organization subpart

No

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

Authorized official

Name

Bernard Cooke Jr., MD

Title

Owner

Phone

(818) 980-1088

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1245598887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR STE 503",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916073462",
            "telephone_number": "818-980-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR STE 503",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916073462",
            "telephone_number": "818-980-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARD M COOKE JR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-980-1088",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica P Bergendahl
• Alla Berger, OTR/L
• Fredlyn Sue Berger, OT
• Farshad C Berjis, D.C.
• Jackie Berliner
• Kevin Bernardo
• Rebecca Bernstein
• Rachel Rose Berookhim
• Shirley Beroukhim, ACSW
• Julie Ann Berzon

• General Practice Physician in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.