NPIMap

Individual provider Active NPI

Brock J Cookman, D.O.

  • Interventional Cardiology Physician
  • Lincoln, NE
National Provider Identifier
1427286681
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
904 Issued in NE
Practice address
1600 S 48TH St
Ste 600
Lincoln, NE 68506-1275
Phone
(402) 483-3333
Fax
(402) 483-3297
NPI assigned
Jun 26, 2009
Last updated
Apr 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R8644 IA
Interventional Cardiology Physician 207RI0011X 2018010080 MO
Interventional Cardiology Physician 207RI0011X DO-04108 IA
Interventional Cardiology Physician 207RI0011X 904 NE Primary

Addresses

Primary practice location

1600 S 48TH St
Ste 600
Lincoln, NE 68506-1275

Mailing address

PO Box 6607
Lincoln, NE 68506-0607
Phone (402) 483-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE, MO, SD4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20110321000700 IA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5991988479 Reassigns benefits to 3 organizations
I20130906000761 NE Practitioner - Interventional CardiologyPractitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 5991988479 Reassigns benefits to 1 organization
I20180619001792 MO Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5991988479 Reassigns benefits to 1 organization
I20251217001179 SD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 5991988479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
College of Medicine and Surgery, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Integrated Cardiology Group LLCGroup PAC ID 7911803796, 78 clinicians
Trinity Regional Medical CenterGroup PAC ID 7315858529, 170 clinicians

Practice addresses (Care Compare)

1600 S 48TH St
Lincoln, NE 68506-1299

1600 S 48TH St
600 Bryan Heart
Lincoln, NE 68506-1275
Phone (402) 483-3333

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3913

220 Essie Davison Dr
Clarinda Regional Health Center
Clarinda, IA 51632-2915
Phone (712) 542-2176

26136 US Hwy 59
Fairfax, MO 64446-9105
Phone (660) 686-2211

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8109

800 Kenyon Rd
Suite Z
Fort Dodge, IA 50501-5776
Phone (515) 206-7270

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.61 of 100Reported as group
Quality
87.74
Promoting interoperability
100
Improvement activities
40
Cost
67.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting39
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R8644IAMDInternal Medicine Physician
DO-04108IAMDInterventional Cardiology Physician
2018010080MOMDInterventional Cardiology Physician
904NEMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Regional Medical Center CurrentSince Feb 27, 2026 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Oct 21, 2025 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Oct 21, 2025 Accepting new patients
Allen Memorial Hospital Corporation Internal Medicine CurrentSince Jun 27, 2025 Accepting new patients
Allen Memorial Hospital Corporation Current Accepting new patients
Integrated Cardiology Group LLC Interventional Cardiology CurrentSince Feb 1, 2019 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Jennie M Melham Memorial Medical Center Inc Past Accepting new patients
Bryan Medical Center Past Accepting new patients
Regional Health Physicians Inc Past Accepting new patients

Locations

220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330

800 Kenyon Rd
Ste Z
Fort Dodge, IA 50501
Phone (515) 206-7270

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

419 E Donald St
Waterloo, IA 50703
Phone (319) 888-7604

26136 US Highway 59
#A
Fairfax, MO 64446
Phone (660) 686-2211

1600 S 48th St
Ste 400
Lincoln, NE 68506
Phone (402) 475-8877

1600 S 48th St
Ste 600
Lincoln, NE 68506
Phone (402) 416-9327

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

Interoperability endpoints

  • Direct secure messaging: bcookman92818@hisp.bryanhealth.org
  • Direct secure messaging: bcookman9534@direct.unitypoint.org

Organizations & group practices 12

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.

Hospital & facility affiliations 9

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": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1427286681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6607",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685060607",
            "telephone_number": "402-483-3333",
            "fax_number": "402-483-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S 48TH ST",
            "address_2": "STE 600",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061275",
            "telephone_number": "402-483-3333",
            "fax_number": "402-483-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKMAN",
        "first_name": "BROCK",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "R8644",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "2018010080",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IA",
            "license": "DO-04108",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NE",
            "license": "904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.