Individual provider Active NPI

Cobra Chamblee, DO

  • Family Medicine Physician
  • Jetmore, KS
National Provider Identifier
1366461741
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0550484 Issued in KS
Practice address
810 W Bramley St
Jetmore, KS 67854-9320
Phone
(620) 357-8354
Fax
(620) 357-6460
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K8686 TX
Family Medicine Physician 207Q00000X OS17772 FL
Family Medicine Physician 207Q00000X 0550484 KS Primary

Addresses

Primary practice location

810 W Bramley St
Jetmore, KS 67854-9320

Mailing address

PO Box 310
Jetmore, KS 67854-0310
Phone (620) 357-8361

Other practice location 1

809 W Bramley St
Jetmore, KS 67854-9320
Phone (620) 357-8361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, KS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130906000035 TX Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Hospitalist 9234144114 Reassigns benefits to 7 organizations
I20210524001039 FL Practitioner - Family Practice 9234144114 Reassigns benefits to 2 organizations
I20250320003851 KS Practitioner - Osteopathic Manipulative Medicine 9234144114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Emergency Medicine, Hospitalist
Education
University of North Texas HSC, College of Osteopathic Med, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Castro County Hospital DistrictGroup PAC ID 3870404064, shared by 6 NPIs, 29 clinicians
Fisher County Hospital DistrictGroup PAC ID 2163311465, 27 clinicians
Hodgeman County Health CenterGroup PAC ID 5799696894, 11 clinicians

Practice addresses (Care Compare)

310 W Halsell St
Dimmitt, TX 79027-1846
Phone (806) 647-2191

774 State Hwy 70 N
Rotan, TX 79546-6918
Phone (325) 735-2256

809 W Bramley St
Jetmore, KS 67854-9320
Phone (620) 357-8361

810 W Bramley St
Jetmore, KS 67854-9320
Phone (620) 357-8354

Hospital & facility affiliations

  • Hospice of the Prairie Home health agency, Dodge City, KS, CCN 178005
  • Hodgeman County Health Center Hospital, Jetmore, KS, CCN 171369
  • Plains Memorial Hospital Hospital, Dimmitt, TX, CCN 451350
  • W J Mangold Memorial Hospital Hospital, Lockney, TX, CCN 451337
  • Plains Memorial Hospital Nursing home, CCN 45Z350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS17772FLMDFamily Medicine Physician
0550484KSMDFamily Medicine Physician
K8686TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Single Specialty CurrentSince May 7, 2013 Accepting new patients
Concord Medical Group of Texas PLLC Single Specialty CurrentSince May 7, 2013 Accepting new patients
Castro County Hospital District Single Specialty CurrentSince Jul 1, 2016 Accepting new patients
VMD Primary Providers Central Florida PLLC Single Specialty CurrentSince Aug 19, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Oct 26, 2015 Accepting new patients
Christus Trinity Clinic Texas Single Specialty CurrentSince Oct 26, 2015 Accepting new patients
Castro County Hospital District CurrentSince Jul 1, 2016 Accepting new patients
Hodgeman County Health Center CurrentSince Mar 1, 2025 Accepting new patients
Fisher County Hospital District CurrentSince Jan 1, 2026 Accepting new patients
Castro County Hospital District CurrentSince Dec 15, 2025 Accepting new patients
Florida Medical Associates LLC Single Specialty CurrentSince Sep 11, 2023 Accepting new patients
Fisher County Hospital District CurrentSince Jan 1, 2026 Accepting new patients
Hodgeman County Health Center CurrentSince Mar 1, 2025 Accepting new patients
Fisher County Hospital District Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
Hodgeman County Health Center Single Specialty Current Accepting new patients
McGehee Desha County Hospital Single Specialty Past Accepting new patients
Lone Star Family Medicine PastSince Jan 1, 1990 Accepting new patients
VMD Primary Providers Central Florida PLLC Family Medicine PastSince May 8, 2022 Accepting new patients
Chicot Memorial Hospital Single Specialty Past Accepting new patients
De Queen Medical Center Inc Single Specialty Past Accepting new patients

Locations

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

4404 S Highway 27
Clermont, FL 34711

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

230 SW 3rd Ave
Ocala, FL 34471
Phone (352) 618-2107

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

5601 N Hiawassee Rd
Orlando, FL 32818
Phone (321) 294-0611

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

810 W Bramley St
Jetmore, KS 67854
Phone (620) 357-8354

809 W Bramley St
Jetmore, KS 67854
Phone (316) 357-8354

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

300 W Halsell St
Dimmitt, TX 79027
Phone (806) 647-2194

310 W Halsell St
Dimmitt, TX 79027
Phone (806) 647-2191

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

774 State Highway 70 N
Rotan, TX 79546
Phone (325) 735-2256

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

520 Douglas Blvd
Tyler, TX 75702
Phone (903) 510-1175

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15770/brand/1/csg/1/fhir/r4

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1366461741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "JETMORE",
            "state": "KS",
            "postal_code": "678540310",
            "telephone_number": "620-357-8361",
            "fax_number": "620-357-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W BRAMLEY ST",
            "city": "JETMORE",
            "state": "KS",
            "postal_code": "678549320",
            "telephone_number": "620-357-8354",
            "fax_number": "620-357-6460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 W Bramley St",
            "address_purpose": "LOCATION",
            "city": "Jetmore",
            "state": "KS",
            "postal_code": "678549320",
            "country_code": "US",
            "telephone_number": "620-357-8361",
            "fax_number": "620-357-6134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBLEE",
        "first_name": "COBRA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K8686",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS17772",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0550484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jetmore, KS

Sources for this page

Verify at the official NPI Registry.