Individual provider Active NPI

Glenn A Cochran, MD

  • Cardiovascular Disease Physician
  • Mobile, AL
National Provider Identifier
1477593663
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
00026518 Issued in AL
Practice address
6701 Airport Blvd
Suite D-330
Mobile, AL 36608-6705
Phone
(251) 607-9797
Fax
(251) 607-9761
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 00026518 AL Primary

Addresses

Primary practice location

6701 Airport Blvd
Suite D-330
Mobile, AL 36608-6705

Mailing address

6701 Airport Blvd
Suite D-330
Mobile, AL 36608-6705
Phone (251) 607-9797

Other identifiers 2

IdentifierTypeStateIssuer
08100515MedicaidMS
510-01217OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050506000379 AL Practitioner - Cardiovascular Disease (Cardiology) 4183664378 Reassigns benefits to 1 organization
I20070314000326 MS Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4183664378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6701 Airport Blvd
Suite D330
Mobile, AL 36608-6758
Phone (251) 607-9797

911 Winter St
Lucedale, MS 39452-5767
Phone (800) 842-4009

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00026518ALMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Associates of Mobile Inc Cardiovascular Disease CurrentSince Jul 1, 2005 Accepting new patients
Cardiology Associates of Mobile Inc CurrentSince Jul 1, 2005 Accepting new patients

Locations

6701 Airport Blvd
Ste D330
Mobile, AL 36608
Phone (251) 607-9797

1720 Spring Hill Ave
Ste 101
Mobile, AL 36604
Phone (251) 438-4600

3715 Dauphin St
Ste 1100
Mobile, AL 36608
Phone (251) 460-0078

911 Winter St
Lucedale, MS 39452
Phone (601) 766-0308

Interoperability endpoints

  • FHIR API: https://fhir.cardassoc.com/R4/open-R4
  • Direct secure messaging: glenncochran@cam.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477593663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD",
            "address_2": "SUITE D-330",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086705",
            "telephone_number": "251-607-9797",
            "fax_number": "251-607-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD",
            "address_2": "SUITE D-330",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086705",
            "telephone_number": "251-607-9797",
            "fax_number": "251-607-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "GLENN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "00026518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08100515",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "510-01217",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.