Active NPI
David W. Cockerill, M.D.
- Neurological Surgery Physician
- South Bend, IN
National Provider Identifier
1497783443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 01059005A
- Practice address
- 100 Navarre PL
Suite 6600
South Bend, IN 46601-1156 - Phone
- (574) 232-7227
- Fax
- (574) 232-2064
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 01059005A | IN | |
| Neurological Surgery Physician | 207T00000X | 01059005A | IN | Primary |
Addresses
Primary practice location
100 Navarre PL
Suite 6600
South Bend, IN 46601-1156
Mailing address
100 Navarre PL
Suite 6600
South Bend, IN 46601-1156
Phone (574) 232-7227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200484210A | Medicaid | IN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01059005A | IN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurological and Spinal Surgery LLC | Neurological Surgery | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
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.
-
- Neurological Surgery Physician
- Lincoln, NE
- NPI 1346206117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287014400000",
"number": "1497783443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NAVARRE PL",
"address_2": "SUITE 6600",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011156",
"telephone_number": "574-232-7227",
"fax_number": "574-232-2064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NAVARRE PL",
"address_2": "SUITE 6600",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011156",
"telephone_number": "574-232-7227",
"fax_number": "574-232-2064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCKERILL",
"first_name": "DAVID",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2010-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IN",
"license": "01059005A",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IN",
"license": "01059005A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200484210A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.