Active NPI
Edward Cochran
- Private Vehicle
- Pensacola, FL
National Provider Identifier
1295833366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- 0000630549
- Practice address
- 1000 N D St
Pensacola, FL 32501-2530 - Phone
- (850) 390-6332
- Fax
- (850) 437-9929
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | 0000630549 | FL | Primary |
Addresses
Primary practice location
1000 N D St
Pensacola, FL 32501-2530
Mailing address
PO Box 18182
Pensacola, FL 32523-8182
Phone (850) 390-6332
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000630549 | FL | MD | Private Vehicle |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295833366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18182",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325238182",
"telephone_number": "850-390-6332",
"fax_number": "850-437-9929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N D ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325012530",
"telephone_number": "850-390-6332",
"fax_number": "850-437-9929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHRAN",
"first_name": "EDWARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "FL",
"license": "0000630549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.